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CC BY 4.0 · Rev Bras Ginecol Obstet 2023; 45(11): e699-e705
DOI: 10.1055/s-0043-1772484
Original Article
Teaching and Training

Effectiveness of an Educational Intervention with Guidelines from the Total Acceleration of Postoperative Recovery Project (ACERTO) in Gynecology

Efetividade de uma intervenção educativa com diretrizes do projeto Aceleração da Recuperação Total Pós-operatória (ACERTO) na ginecologia
Juliana Marques Marra 
1   Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
,
Isabela Corrêa Samper 
1   Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
,
Laura Aparecida Xavier de Abreu 
1   Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
,
Rafaela Pereira Anelvoi 
1   Universidade Federal de Uberlândia, Uberlândia, MG, Brazil
,
Maria Gabriela Baumgarten Kuster Uyeda 
2   Escola Paulista de Enfermagem, Universidade Federal de São Paulo, SP, Brazil
,
Marair Gracio Ferreira Sartori 
2   Escola Paulista de Enfermagem, Universidade Federal de São Paulo, SP, Brazil
,
Gisele Vissoci Marquini 
2   Escola Paulista de Enfermagem, Universidade Federal de São Paulo, SP, Brazil
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Abstract

Objective To evaluate the effectiveness of an educational intervention among gynecologists about recommendations of the Total Acceleration of Postoperative Recovery (ACERTO, in the Portuguese acronym) project derived from the solid foundations of Enhanced Recovery After Surgery (ERAS) guidelines to optimize hospital care for surgical-gynecological patients.

Methods Educational intervention through monthly 1-hour long meetings (3 months), with the application of an objective questionnaire about specific knowledge of the ACERTO project between before and after educational intervention phases, for gynecologists, after approval by the ethics committee and signature of informed consent by participants, in a federal university hospital.

Results Among the 25 gynecologists who agreed to participate, the educational intervention could be effective with a statistically significant difference between the phases before and after the intervention for the main recommendations of the ACERTO project, such as abbreviation of preoperative fasting (p = 0.006), venous thromboembolism prophylaxis (p = 0.024), knowledge and replication of ACERTO (p = 0.034), and multimodal analgesia (p = 0.021).

Conclusion An educational intervention, through clinical meetings with exposition and discussion of the recommendations of the ACERTO project based on the ERAS protocol can be effective for the knowledge and possibility of practical application of the main measures, such as abbreviation of preoperative fasting, multimodal analgesia, and prophylaxis of thrombosis among gynecologists.

Resumo

Objetivo Avaliar a efetividade de uma intervenção educativa entre ginecologistas de um hospital universitário a fim de capacitar o conhecimento científico das recomendações do projeto Aceleração da Recuperação Total Pós-operatória ACERTO, derivado das bases sólidas do protocolo Enhanced Recovery After Surgery (ERAS) para otimizar a assistência hospitalar de pacientes cirúrgico-ginecológicas.

Métodos Intervenção educativa por meio de reuniões mensais por 3 meses, com duração de 1 hora, com aplicação de questionário objetivo com questões de conhecimentos específicos do projeto ACERTO com fases antes e depois da intervenção, para profissionais ginecologistas, após aprovação do comitê de ética em pesquisas (CEP) e assinatura do termo de consentimento livre e esclarecido (TCLE) pelos participantes.

Resultados Dentre os 25 ginecologistas que aceitaram participar, a intervenção educativa se mostrou eficaz com diferença estatisticamente significante entre as fases antes e depois da intervenção para as principais recomendações do projeto ACERTO, como abreviação de jejum pré-operatório (p = 0.006), profilaxia de tromboembolismo venoso (p = 0.024), conhecimento e replicação do conhecimento do ACERTO (p = 0.006) e analgesia multimodal (p = 0.006).

Conclusão Uma intervenção educativa, por meio de reuniões clínicas com exposição e discussão das recomendações do projeto ACERTO baseadas em evidências e derivadas do ERAS é eficaz para o conhecimento e possibilidade de aplicação prática de medidas como abreviação de jejum pré-operatório, analgesia multimodal e profilaxia de trombose entre ginecologistas.

Keywords

preoperative care - perioperative care - surgical procedures in gynecology - enhanced recovery after surgery

Palavras-chave

cuidados pré-operatórios - cuidados perioperatórios - procedimentos cirúrgicos em ginecologia - recuperação melhorada após a cirurgia

Contributions

Marra J: Project development, data collection, writing/proofreading/editing of the manuscript. Samper I: Project development, data collection, writing/proofreading/editing of the manuscript. Xavier L: Project development, data collection, writing/proofreading/editing of the manuscript. Anelvoi R: Project development, data collection, writing/proofreading/editing of the manuscript. Uyeda MG: Project development, data collection, writing/proofreading/editing of the manuscript. Sartori M: Project development, data collection, writing/proofreading/editing of the manuscript. Marquini G: Project development, data collection, writing/proofreading/editing of the manuscript.




Publication History

Received: 23 January 2023

Accepted: 12 June 2023

Article published online:
29 November 2023

© 2023. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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