Clinical Pathways of Postoperative Nursing Care for Women Undergoing Gynecological Operations at Port Said Hospitals

Heeba, Manar Fathy; Nasr, Elsayda Hamdy; Elsadat, Hanan mohamed Ali Abou

doi:10.21608/pssjn.2019.68002

Cited by 4 publications

(8 citation statements)

References 27 publications

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“…The current study showed that more than half of studied women had secondary level of education or its equivalent in both groups This finding was in line with Heeba, et al [15] study of "clinical pathway of postoperative nursing care for women undergoing gynaecological operation at port said hospitals" found that more than half from studied women had secondary level of education in both groups.…”

Section: Discussionsupporting

confidence: 91%

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Effect of Enhanced Recovery Pathway on Hysterectomy Complications in Suez Canal University Hospital and General Hospital at Ismailia City

Atia¹,

Keshk²,

Abd-Allah³

2020

SJMH

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Background: The enhanced recovery pathway concept emerged as a multimodal approach directed at optimizing the patient experience, standardizing perioperative care, and improving surgical outcomes. Aim: to evaluate the effect of enhanced recovery pathway on hysterectomy complications for women in Suez Canal University Hospital and General Hospital in Ismailia City. Design: - A quasi-experimental study design was used in this study. Sample: - convenient sample consist of 132 women undergoing hysterectomy operation. Tool: - Structured interviewing questionnaire included questions personal and socio-demographic characteristics and -Obstetric, gynecological, surgical history and follow up assessment checklist. Results: - the majority of women in two groups were complained from bleeding (65.2% in control group and 60.6% in study group). 54.5 % of control group and 42.4% of study group had fibroid as a medical diagnosis. The highest frequency women (60.6% in control group and 43.9% in study group) had 1-6 month as time of current complained. The women in the study group were less likely to suffer from complications as fever, vaginal prolapse and pneumothorax compared to those in control group. Differences observed are statistically significant P= (0.023, 0.049, 0.004). Conclusion: The result of the study concluded that women undergoing hysterectomy operation who received enhanced recovery pathway protocol were more likely to decrease the incidence of post-operative complications than women who didn’t. Recommendation: - Health care settings should emphasize the importance of coordination between health care members relating to the application of the evidenced key elements of enhanced recovery pathway management regarding hysterectomy.

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Section: Discussionsupporting

confidence: 91%

“…It included 10 questions as wound infection, pneumothorax, vaginal bleeding ……etc. (used for study group and control) Ali, et al [3] and Heeba, et al [15].…”

Section: Tools For Data Collection 131 Tools Of Data Collection Tomentioning

confidence: 99%

Effect of Enhanced Recovery Pathway on Hysterectomy Complications in Suez Canal University Hospital and General Hospital at Ismailia City

Atia¹,

Keshk²,

Abd-Allah³

2020

SJMH

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“…Following postpartum standardized care guidelines, which might be administered by a maternity nurse after caesarean section surgery, could enhance postoperative outcomes significantly. These include a faster recovery of gastrointestinal function, better pain relief with less opiate prescriptions, a shorter hospital stay, and high woman satisfaction with significant cost savings while reducing level complication and readmission rates (Aljabri et al, 2020).. Few studies have examined at postpartum standardized care guidelines in women who have had caesarean sections, and the majority of cohorts were small and only included women who experienced postpartum problems (Heeba, Nasr & Ali Abou Elsadat, 2019). In the meantime, no research has been done on this topic at the Alazher university hospital in Damietta.…”

Section: Significance Of Studymentioning

confidence: 99%

“…An increasing body of evidence, including randomized controlled studies Adamina et al (2011), has shown that following postpartum care guidelines speeds recovery and saves morbidity and expense while maintaining women's satisfaction and quality of life. Few studies have assessed postpartum care guidelines in caesarean section surgery, and the majority of cohorts were small and only included women who had postpartum problems (Heeba, Nasr & Ali Abou Elsadat, 2019).…”

Section: Introductionmentioning

confidence: 99%

Effect of Postpartum Standardized Care Guidelines to Caesarean Section Women on Pain Relief and Satisfaction: Comparative Study

El-Aty

Ibrahim

2022

Port Said Scientific Journal of Nursing

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Background: Postpartum care standards have demonstrated to enhance clinical outcomes for women who have caesarean delivery, as decrease pain, complications, hospital stays and improve clinical practice. Women's satisfaction is a key indicator of how well guidelines are implemented. Aim: This study aimed at assess the effect of postpartum standardized care guidelines to caesarean section women on their pain relief and satisfaction.Subjects and method: Design: Quasi-experimental study design was used. Setting: The study was conducted at obstetric and gynecologic department, Alazher university hospital in Damietta governorate. Subjects: A total of 125 women underwent cesarean section operation divided into two groups were recruited. Tools of data collection: Structured interviewing questionnaire, follow-up observation checklist and women's satisfaction Likert scale were used. Results: Statistically significant differences observed between study group and control group (p = 0.001), as the study group were more likely to start early oral fluid, initiate regular diet, less exposed to complications and more likely to mobilize less than 6 hours (100.0%). Mean scores of pain in first 24 hours were lower in the study group (2.46±1.58) than in the control group (3.50±1.76). In addition, women in the study group were more satisfied with all aspects of postpartum guidelines (64.35±13.67) than women in the control group (63.34±12.67). Conclusion: Implementation of postoperative guidelines among caesarean delivery women was found to be beneficial in relief postoperative pain, complications and increase women's satisfaction. Recommendations: Postpartum standard care guidelines should be incorporated into the postoperative management protocol at all government hospitals.

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“…Heeba M, conducted a study to investigate the effect of clinical pathways of postoperative nursing care for patients undergoing gynaecologic operations on the postoperative outcome. The study shows that the clinical pathway was effective in improving postoperative outcomes related to early ambulation, early oral intake, bowel mobility, hours to remove catheters and drains, a short length of stay and patient satisfaction [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Postoperative clinical nursing care pathway for patients with mucormycosis: An experience from a tertiary care hospital in Rajasthan, India

Kalal

Sharma

Soni

2021

Nepal J Epidemiology

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Background: The COVID-19 pandemic is a serious global health threat and it has numerous impacts on human life. India faced the problem of the second wave of COVID-19 and an unexpected new predicament in the form of mucormycosis has been added. The use of steroids drugs for long duration and comorbidity with COVID-19 infections are the risk factors of mucormycosis. It is important to understand the postoperative clinical pathway to assess and determine the policy and protocol, which help patients fasten their recovery, prevent further complications and readmission. Methods: A cross‑sectional descriptive design was used to conduct the study. We adopted the validated Immediate Post-Operative Recovery Assessment (IPR-PA) Scale to assess the postoperative clinical nursing care pathway for patients with mucormycosis. Results: The current study shows that patients had highest score in the physiology clinical recovery domain (75.25%) and the lowest post-operative clinical recovery score in psycho-social domain (20.83%). There was a significant positive correlation was found between all the domains. The medication status domains found significantly associated with participants’ age (P=.021) and physiological domains has shown significant association with received oxygen therapy during hospitalization (P=.046). Conclusion: Postoperative clinical nursing care pathway was effective to determine the progress of a patient. It helps us to know the parameter of different domains namely being physiological, physical, psycho-social and medication status. Patients required psycho-social support due to the epidemic and fear from disease.

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Clinical Pathways of Postoperative Nursing Care for Women Undergoing Gynecological Operations at Port Said Hospitals

Cited by 4 publications

References 27 publications

Effect of Enhanced Recovery Pathway on Hysterectomy Complications in Suez Canal University Hospital and General Hospital at Ismailia City

Effect of Enhanced Recovery Pathway on Hysterectomy Complications in Suez Canal University Hospital and General Hospital at Ismailia City

Effect of Postpartum Standardized Care Guidelines to Caesarean Section Women on Pain Relief and Satisfaction: Comparative Study

Postoperative clinical nursing care pathway for patients with mucormycosis: An experience from a tertiary care hospital in Rajasthan, India

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