POSTOPERATIVE NURSING CARE CONTRIBU...

POSTOPERATIVE NURSING CARE CONTRIBUTIONS TO SYMPTOM DISTRESS AND FUNCTIONAL STATUS AFTER AMBULATORY SURGERY B Swan Medsurg Nursing Vol 7 (June 1998) 148-158

Ambulatory surgery continues to make improvement in response to economic and regulatory crushings Increases in the number of patients undergoing ambulatory surgery have an result on the process of nursing care, the way in which supply with nourishments provide care, and the manner in which patients perceive care. This researcher identified the ne to thought the relationship of shortened stays forward ambulatory patient outcomes related to symptom distress and functional status.

The sense of this study was to examine the relationship of preoperative and postoperative patient-perceived nursing caring behaviors to symptom distress and functional status 24 hours, four days, and seven days after surgery

There has been minimal cogitation of the relationship between patient-perceived give suck to caring behaviors and patient issues in the ambulatory setting. Nursing interventions are designed to minimize symptom distress and optimize functional status within caring behaviors. Only one thought has examined the effect of nurses' caring behavior forward the health status of the hospitalized patient.

The methodology was a prospective, single cohort design used to examine the relationship of patient-perceived feed at the breast caring behaviors and patient issues in adults undergoing surgery in an ambulatory setting. A consecutive sample of 100 consenting adults who had undergone surgical managements in an urban academic medical center a suburban community hospital, and a suburban teaching hospital was used. These patients had undergone either a laparoscopy or an incisional inguinal hernia repair.

The mean age of the patients was 426 Sixty-two percent were female, 72% were white, 75% were married, and 63% had at least a high teach education. Forty-one percent of the proceedings were hernia repairs, and 59% were laparoscopies. Using the American Society of Anesthesiologists' (ASA) Physical Status Classification plan 21 patients were categorized ASA I, 66 were categorized ASA II, and 13 were categorized ASA III. Seventy-nine percent of the patients had at least undivided comorbidity (ie, hypertension, diabetes, asthma).

The general symptom distress scale (GSDS) was used to measure preoperative and postoperative symptom distress, with 11 symptoms being rated. The functional status questionnaire (FSQ) was used to measure preoperative and postoperative functional status. The FSQ uses 34 questions to assess the patient's physical, psychological, and social state and character function.

The caring behavior inventory (CBI) was used to measure preoperative and postoperative caring behaviors. The CBI was designed to assess the nursing care proces The ASA classification order was used to categorize preoperative comorbidities.

After approval by means of the university's institutional review board, each bring under rule gave written, informed consent. The principal investigator contacted all exposes one to five days preoperatively to administer the questionnaires. The GSD and FSQ were used preoperatively and forward postoperative days one, four, and seven The preoperative data was consider probableed in person. The CBI was used postoperatively forward days one, four, and seven

Multiple linear regression analysis was used to assess the preoperative and postoperative relationship. The no other than correlation found 24 hours after surgery was between social interaction and positive connectednes A significant correlation was set up four days postoperatively between symptom distress and respective esteem to others, assurance of human demeanor and positive connectedness. Seven days postoperatively, symptom distress and mental health were significantly correlated to dutiful deference to others, assurance of human vicinity positive connectedness, professional knowledge and skill, and attentiveness to others' experience.

Findings from this inquiry indicate that patient outcomes after ambulatory surgery are influenced by way of postoperative patients, perceived nurse caring behaviors, and ASA classification. Preoperative comorbidity did not play a part in patient-perceived nurse caring behavior.

Patients who reported a greater awareness of feed caring behaviors in the postanesthesia care unit had les symptom distress in the postoperative period. These patients experienced a quicker recur to activities of daily living.

The findings from this close attention add to the body of knowledge concerning the consequences of ambulatory surgery patients. There remains many important areas to be studied--clinical question s related to streamlining patient care and the patient/nurse relationship are solely two of the areas to be studied that would benefit patient care and outcomes

AMY L REICHERT RN MSN CNOR NURSING RESEARCH COMMITTEE

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