Optimasi Kepatuhan Protokol Enhanced Recovery After Surgery (ERAS) Melalui Inovasi Video Edukasi Terstruktur pada Pasien Kanker Pasca-Bedah
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Abstract
Background – Implementation of Enhanced Recovery After Surgery (ERAS) protocols is often hindered by limited educational media and nursing workload, leading to delayed recovery in post-operative cancer patients. This study aims to optimize adherence to ERAS protocols through innovative structured digital video education.
Methods – A quantitative quasi-experimental study with a one-group pre-post test design was conducted on 15 patients at Dharmais Cancer Hospital. The intervention involved providing an 8-minute educational video accessible via barcode scanning during the perioperative phase. Adherence data were measured longitudinally using validated observation sheets and analyzed using the Friedman test.
Results – Respondents were predominantly female (73.3%) with a mean age of 55.3 years. Post-intervention, 100% adherence was recorded in diet, pain control, and wound cleanliness. Adherence to respiratory exercises reached 98.66%, while early mobilization was 71.42%. Challenges remain in the timely removal of invasive devices (IV lines/catheters) due to clinical complications. Overall, there was a significant positive trend in patient adherence.
Conclusion – Digital video-based ERAS education effectively enhances health literacy and adherence among surgical cancer patients. This media provides a consistent, visual, and flexible educational solution to support accelerated clinical recovery in hospital settings.
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Barker, T. H., Stone, J. C., Sears, K., Klugar, M., Tufanaru, C., Leonardi-Bee, J., Aromataris, E., & Munn, Z. (2023). The revised JBI critical appraisal tool for the assessment of risk of bias for randomized controlled trials. JBI Evidence Synthesis, 21(3), 494-506. https://doi.org/10.11124/JBIES-22-00390
Elsevier. (2024). PRISMA-COSMIN 2024: New guidance aimed to enhance the reporting quality of systematic reviews of outcome measurement instruments [Guest editorial]. International Journal of Nursing Studies, 160, 104880. https://doi.org/10.1016/j.ijnurstu.2024.104880
Gautama, M. S. N., Huang, T.-W., & Haryani, H. (2023). A systematic review and meta-analysis of randomized controlled trials on the effectiveness of immersive virtual reality in cancer patients receiving chemotherapy. European Journal of Oncology Nursing, 67, 102424. https://doi.org/10.1016/j.ejon.2023.102424
Gerçeker, G.Ö., et al. (2021). The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: Randomized controlled trial. European Journal of Oncology Nursing, 50, 101886. https://doi.org/10.1016/j.ejon.2020.101886
Gerçeker, G.Ö., et al. (2024). The Effect of Virtual Reality Distraction and Fatigue Training on Anxiety and Fatigue Levels in Children with Cancer: A Randomized Controlled Study. Seminars in Oncology Nursing, 40, 151725. https://doi.org/10.1016/j.soncn.2024.151725
Hundert, A.S., et al. (2022). A Pilot Randomized Controlled Trial of Virtual Reality Distraction to Reduce Procedural Pain During Subcutaneous Port Access in Children and Adolescents With Cancer. The Clinical Journal of Pain, 38(3), 189–196. https://doi.org/10.1097/AJP.0000000000001017
Kanad, N., et al. (2024). The effect of virtual reality on pain, fear and emotional appearance during blood draw in pediatric patients at the hematology-oncology outpatient clinic: A randomized controlled study. European Journal of Oncology Nursing, 68, 102495. https://doi.org/10.1016/j.ejon.2023.102495
Nartiana, S., Rachmawati, I. N., & Allenidekania, A. (2024). Pengaruh oral hygiene dengan madu terhadap kejadian stomatitis pada anak dengan kanker: Tinjauan sistematis. Jurnal Keperawatan, 16(2), 1–9. http://journal.stikeskendal.ac.id/index.php/Keperawatan
Reitze, A., et al. (2024). Impact of virtual reality on peri-interventional pain, anxiety and distress in a pediatric oncology outpatient clinic: A randomized controlled trial. BMC Pediatrics, 24, 501. https://doi.org/10.1186/s12887-024-04952-3
Savaş, E.H., et al. (2024). The effect of a biofeedback-based virtual reality game on pain, fear and anxiety levels during port catheter needle insertion in pediatric oncology patients: A randomized controlled study. European Journal of Oncology Nursing, 70, 102621. https://doi.org/10.1016/j.ejon.2024.102621
Sulistyawati, E., Allenidekania, A., & Gayatri, D. (2021). Effect of progressive muscle relaxation on sleep quality and side effects of chemotherapy in children with cancer: Randomized clinical trial. Open Access Macedonian Journal of Medical Sciences, 9(T4), 300–308. https://doi.org/10.3889/oamjms.2021.5774
Tennant, M., et al. (2020). Feasibility, Acceptability, and Clinical Implementation of an Immersive Virtual Reality Intervention to Address Psychological Well-Being in Children and Adolescents With Cancer. Journal of Pediatric Oncology Nursing, 37(4), 265–277. https://doi.org/10.1177/1043454220917859
Tennant, M., et al. (2021). Effects of immersive virtual reality exposure in preparing pediatric oncology patients for radiation therapy. Technical Innovations & Patient Support in Radiation Oncology, 19, 18–25. https://doi.org/10.1016/j.tipsro.2021.06.001
Velasco-Hidalgo, L., González-Garay, A., Segura-Pacheco, B. A., Esparza-Silva, A. L., Cuéllar Mendoza, M. E., Ochoa-Drucker, C., Campos-Ugalde, S., Bernabé-Gaspar, L. E., & Zapata-Tarrés, M. (2024). Virtual reality as a non-medical tool in the treatment of anxiety, pain, and perception of time in children in the maintenance phase of acute lymphoblastic leukemia treatment. Frontiers in Oncology, 14, 1303421. https://doi.org/10.3389/fonc.2024.1303421
Wong, C.L., et al. (2022). Effects of immersive virtual reality for managing anxiety, nausea and vomiting among paediatric cancer patients receiving their first chemotherapy. European Journal of Oncology Nursing, 61, 102233. https://doi.org/10.1016/j.ejon.2022.102233