https://he03.tci-thaijo.org/index.php/pthjo <p>Journal of Hospital and Community Health Research is an academic journal in the field of medicine and public health. with the purpose of Publish research results about health in both hospitals and communities, as well as to promote and develop a body of knowledge in patient care health promotion disease prevention and restoring health<br />Publication Frequency<br />The journal is published 3 times a year.<br />Issue 1 January - March Issue 2 April - June Issue 3 July - September Issue 4 October - December<br />(Every 3 months or 4 volumes/year)</p> th-TH pthjohos@gmail.com (Dr.Koraphat Artwanischakul ) nestzero2012@gmail.com (พิทักษ์ ตึกสุอินทร์) Tue, 28 Oct 2025 10:49:14 +0700 OJS 3.3.0.8 http://blogs.law.harvard.edu/tech/rss 60 https://he03.tci-thaijo.org/index.php/pthjo/article/view/4423 <p> </p> <p> This action research aimed to develop and examine the effects of an enhanced recovery after surgery guideline for patients undergoing laparoscopic colorectal cancer surgery at Thabo Crown Prince Hospital. The study sample consisted of 39 healthcare personnel involved in patient care and 27 colorectal cancer patients who underwent laparoscopic surgery at Thabo Crown Prince Hospital. A purposive sampling method was used. Data were collected using interviews, focus group discussions, questionnaires, and practice assessment forms. Data analysis employed descriptive statistics, including frequency, percentage, mean, standard deviation, and content analysis. The study was conducted between April 2024 and February 2025.</p> <p> Results: the developed pathway comprised 4 phases and 25 activities 1) Pre-Operative Phase (9 activities) covered patient information, health and nutritional status assessment,surgical preparation, and avoidance of prolonged fasting. 2) Intra-Operative Phase (6 activities) focused on laparoscopic surgery, appropriate fluid management, and maintaining normothermia. 3) Post-Operative Phase (7 activities) promoted early mobilization, breathing exercises, early oral feeding, pain management, and prevention of nausea and vomiting.3) Discharge Phase (3 activities) ensured comprehensive information and continuous follow-up. Implementation outcomes showed that personnel adhered to the pathway at 97.07%. The pathway was rated as very appropriate to most appropriate (x̄ = 4.23-4.59, SD = 0.28-0.64). Patient outcomes included an average length of hospital stay of 7.16 days, a significant reduction from the baseline of 13 days. There were no surgical site infections, one case of anastomotic leak, and no mortality.</p> <p> The development of Guidelines for Enhanced Recovery after Laparoscopic Colorectal Cancer Surgery is appropriate and feasible for implementation. It resulted in a reduced length of hospital stay, fewer complications, and effectively improved the quality of care for patients undergoing laparoscopic colorectal cancer surgery</p> somsak Boonharn (M.D), Orapan Suwanwalaikorn (B.N.S.) Copyright (c) 2025 Journal of Hospital and Community Health Research https://he03.tci-thaijo.org/index.php/pthjo/article/view/4423 Tue, 28 Oct 2025 00:00:00 +0700