Effectiveness of Integrated Education to Reduce Postoperative Nausea, Vomiting, and Dizziness after Abdominal Surgery under General Anesthesia

Abstract

This study presents an anticipatory integrated education program for nausea, vomiting, and dizziness prevention (anti-NVD education program) for patients undergoing abdominal surgery under general anesthesia. The anti-NVD education program for nephrectomy patients consisted of the following: the causes of postoperative nausea, vomiting, and dizziness; effective deep breathing and how to use an inspirometer; postoperative nausea and vomiting; effective methods of patient-controlled analgesia; and the stepwise standing up method to prevent dizziness. A study was conducted among 79 adults (experimental group: n = 40, control group: n = 39). The degree of nausea and dizziness was measured using a numerical rating scale (NRS), and vomiting and the frequency of antiemetic use were measured in terms of the number of patients. The experimental group, which received the anti-NVD education, showed remarkably lower levels of nausea (p = 0.013) and dizziness (p < 0.001) than the control group. The frequency of antiemetic use 48 hours after surgery was significantly lower in the experimental group (p = 0.03). This study proved the efficacy of the anti-NVD education program for reducing postoperative nausea and dizziness. This program can be used as a noninvasive nursing intervention to prevent nausea, vomiting, and dizziness among patients undergoing abdominal surgery.

Effect of Comprehensive Nursing on the Recovery of Gastrointestinal Function in Patients Undergoing Abdominal Operation

“…Due to different diagnostic criteria, the incidence of gastroparesis reported in some literature is 0.3% to 10% [ 2 ]. The incidence of gastroparesis after gastrectomy can be as high as 4.7% [ 3 ]. The etiology of gastroparesis after abdominal surgery is not yet clear, which may be related to the following factors: (1) whether there is gastric outflow tract obstruction before surgery: generally, patients with gastric outflow tract obstruction before surgery are more likely to develop postoperative gastric outflow tract obstruction than those without obstruction.…”

Nurse‐led web‐based patient education reduces anxiety in thyroidectomy patients: A randomized controlled study

“…This in turn may contribute to a decrease in pain severity. Studies have reported that patients with preoperative anxiety who had received web‐based information prior to surgery concerning what to expect and how to manage it experienced fewer postoperative difficulties in terms of symptom development, pain (Bisbey et al, 2017), nausea, and vomiting (Seok et al, 2021). We also believe that the lower pain levels in our intervention group compared with the control group were associated with anxiety.…”

“…Studies also show that when patients are prepared with web‐based information prior to surgery, their anxiety levels decrease (Kim et al, 2019; Rostami et al, 2021), patient safety improves (Yin et al, 2015), and patient satisfaction increases (van Eck et al, 2018). Web‐based patient education during surgery is also effective in preventing nausea, vomiting, and dizziness (Seok et al, 2021).…”

“…When successful, nurse‐based interventions exhibit positive effects on anxiety. Some studies conducted by nurses who provided patient education have reported fewer intravenous analgesic requirements among patients (Seok et al, 2021) and positive outcomes regarding anxiety and pain (Gursoy et al, 2016; Ruiz Hernández et al, 2021). Lower rates of cancellation and postoperative mortality and morbidity rates have been observed in patients evaluated by nurses before surgery (Sau‐Man Conny & Wan‐Yim, 2016).…”

Multimodal perioperative management programme on postoperative discomfort among clients undergoing abdominal surgery at a selected hospital in Mangaluru

“…The treatment of pain has been the focus of medicine for many years and has been approached in different ways by physicians to manage pain during and after surgery (15,16). However, recent approaches focussed on non-invasive therapies such as deep breathing exercises (6) and integrated educational programs (17) to alleviate post-operative non-pain symptoms after surgery. Here we studied the effect of the MPMP intervention on the post-operative discomfort factors in patients undergoing abdominal surgery.…”