Managing Symptoms: Enhancing Patients Self-Management Knowledge and Skills for Surgical Recovery

Odom-Forren, Jan; Wesmiller, Susan W.

doi:10.1016/j.soncn.2016.11.005

Cited by 13 publications

(11 citation statements)

References 78 publications

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“…Pain management was one of the topics most patients wanted more information on. It is one of the most important topics to include in education of the surgical patient as pain is the main symptom reported by patients after surgery (Jan Odom‐Forren & Wesmiller, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

Patients' expectations and experiences of provided surgery‐related patient education: A descriptive longitudinal study

2022

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Aims The aim of this study was to explore the educational expectations and experiences of surgical patients. Design Prospective, longitudinal, descriptive and two‐centre study. Data were collected with questionnaires at the hospital and 6 weeks and 6 months postsurgery. Methods Patients undergoing elective surgery and hospitalized overnight from January to July 2016 answered questions about the content of received pre‐operative and pre‐discharge education, topics they wanted more information on, sources of information, satisfaction with and usefulness of the information and if their recovery was as expected. Results Patients ( N = 697, 49% male, mean age 64.1 [ SD 12.6] years) perceived the provided education as useful and satisfactory but less so after discharge. Most common topics which they expected more education about were postoperative complications, pain management, fatigue, lack of stamina and expected recovery time. Most patients received information through face‐to‐face teaching (79.7%) and in writing (78.4%). Expectations on recovery were related to patients' satisfaction with the education and how useful they evaluated it.

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Section: Discussionmentioning

confidence: 99%

Patients' expectations and experiences of provided surgery‐related patient education: A descriptive longitudinal study

2022

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“…Although a short hospital stay has many benefits, it also places additional burdens on patients and caregivers to manage their recovery at home . Postoperative symptoms are common and represent a major source of morbidity and distress for patients, and it can be difficult for patients to distinguish between symptoms that are expected during recovery and potentially serious events, such as infection …”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3] Although a short hospital stay has many benefits, it also places additional burdens on patients and caregivers to manage their recovery at home. 4 Postoperative symptoms are common and represent a major source of morbidity and distress for patients, 5,6 and it can be difficult for patients to distinguish between symptoms that are expected during recovery and potentially serious events, such as infection. [7][8][9] The gap between patients at home and their clinical teams can be bridged by remote, electronic symptom monitoring using patient-reported outcomes, promoting patient-centered c are, communic ation, and shared decision-making.…”

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confidence: 99%

Association Between Electronic Patient Symptom Reporting With Alerts and Potentially Avoidable Urgent Care Visits After Ambulatory Cancer Surgery

et al. 2021

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IMPORTANCE Increasingly complex surgical procedures are being performed in the outpatient setting, increasing the burden on patients and caregivers to manage their postoperative symptoms. Electronic patient-reported symptom tracking may reduce this burden and help patients distinguish between expected symptoms and those requiring intervention.OBJECTIVE To determine whether electronic symptom reporting with clinical alerts for 10 days after ambulatory cancer surgery is associated with a reduction in potentially avoidable urgent care visits, defined as a visit not leading to admission. DESIGN, SETTING, AND PARTICIPANTSThis retrospective cohort study was conducted at the Josie Robertson Surgery Center (JRSC), Memorial Sloan Kettering Cancer Center's ambulatory surgery center with overnight stay capacity from September 20, 2016, to December 31, 2018. Patients undergoing prostatectomy, nephrectomy, mastectomy with or without immediate reconstruction, hysterectomy, or thyroidectomy at the surgery center before (n = 4195) and after (n = 2970) implementation of the Recovery Tracker (RT) electronic postoperative symptom survey were included. Data analyses were conducted from February 1 to November 24, 2020.EXPOSURES A short electronic survey assessing symptoms daily for 10 days after surgery, administered via the patient portal, with alerts to the clinical team and follow-up for concerning responses. MAIN OUTCOMES AND MEASURESThe main outcome was Memorial Sloan Kettering urgent care center visits with and without readmission and any readmission within 30 days after surgery. Nursing workload was measured by patient phone calls, emails, and secure messages as documented in the electronic medical record.RESULTS A total of 7165 patients were analyzed, including 4195 (median age, 53 [interquartile range (IQR), 44-63] years; 3490 women [83%]) from the pre-RT implementation period and 2970 (median age, 56 [IQR,[46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65] years; 2221 women [75%]) from after full implementation. On multivariable, intent-to-treat analysis by study period, having surgery in the post-RT period was associated with a 22% decrease in the odds of an urgent care center visit without readmission (OR, 0.78; 95% CI, 0.60-1.00; P = .047). Having responded to at least 1 survey was associated with a 42% reduction in the odds of an urgent care center visit without readmission (OR, 0.58; 95% CI, 0.39-0.87; P = .007). There was no change in the risk of admission. Nursing calls increased by a mean of 0.86 (95% CI, 0.75-0.98) calls per patient after RT implementation (P < .001), a 34% increase. CONCLUSIONS AND RELEVANCEIn this cohort study, electronic symptom reporting with nursing follow-up for clinical alerts was associated with a reduction in potentially avoidable urgent care visits. The low risk and high benefit of this intervention suggest that these systems should be more broadly implemented.

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“…O empoderamento do indivíduo sobre sua condição de saúde é de suma importância para obtenção de sua autonomia, sendo o modo mais adequado para tomada de decisões pertinentes, resultando na manutenção da qualidade de vida e prevenção de hospitalizações recorrentes (15) . Estratégias eficazes, para que os pacientes consigam realizar o autogerenciamento dos sinais e sintomas no pós-operatório, são imprescindíveis para a recuperação (16) . Essas, por sua vez, devem ter um caráter emancipador e considerar o paciente de forma holística, integrando sua comunidade e sua família, a fim de que haja troca de experiências e não somente imposição de informações sobre condições de saúde-doença (17) .…”

Section: Introductionunclassified

Orientações De Alta Hospitalar Para O Desempenho Do Autocuidado Após a Cirurgia Cardíaca: Revisão Integrativa

Santos

Laprano

Conceição

2020

Rev. baiana enferm.

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<p>Objetivo: identificar as orientações de saúde necessárias, para que o paciente em pós-operatório de cirurgia cardíaca possa desempenhar comportamentos de autocuidado após a alta hospitalar. Método: revisão integrativa, seguindo as etapas propostas por Whittemore, limitada aos idiomas português, inglês e espanhol, e publicação entre 2007 e 2018. Utilizaram-se as bases de dados disponíveis nas bibliotecas virtuais PubMed e Biblioteca Virtual em Saúde e o instrumento de Ursi para extração dos dados. Classificaram-se os artigos conforme o nível de evidência. Resultados: foram incluídos seis artigos. Os achados possibilitaram a criação de nove categorias que agrupam as orientações de saúde para o desempenho do autocuidado após alta hospitalar decorrente de cirurgia cardíaca. Conclusão: atividades de vida diária, alimentação, atividade e exercício físico, sintomas psicológicos, controle de fatores de risco, complicações, terapia medicamentosa, manejo dos sintomas e pele foram orientações de saúde identificadas para o desempenho do autocuidado após alta hospitalar de pacientes submetidos a cirurgia cardíaca.</p><p>Descritores: Revascularização Miocárdica. Procedimentos Cirúrgicos Cardiovasculares. Valvas Cardíacas. Cuidados Pós-Operatórios. Educação de Pacientes como Assunto. Autocuidado.</p>

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Managing Symptoms: Enhancing Patients Self-Management Knowledge and Skills for Surgical Recovery

Cited by 13 publications

References 78 publications

Patients' expectations and experiences of provided surgery‐related patient education: A descriptive longitudinal study

Patients' expectations and experiences of provided surgery‐related patient education: A descriptive longitudinal study

Association Between Electronic Patient Symptom Reporting With Alerts and Potentially Avoidable Urgent Care Visits After Ambulatory Cancer Surgery

Orientações De Alta Hospitalar Para O Desempenho Do Autocuidado Após a Cirurgia Cardíaca: Revisão Integrativa

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