Self-Care Activities for Post-discharge Nausea and Vomiting Following Ambulatory Surgery

2.50
Hdl Handle:
http://hdl.handle.net/10755/156672
Type:
Presentation
Title:
Self-Care Activities for Post-discharge Nausea and Vomiting Following Ambulatory Surgery
Abstract:
Self-Care Activities for Post-discharge Nausea and Vomiting Following Ambulatory Surgery
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Fetzer, Susan J., RN, PhD
P.I. Institution Name:University of New Hampshire
Objective: The purpose of this study was to describe self-care activities that ambulatory surgical(AS) patients use to manage post operative nausea and vomiting (PDNV) during the first 24 hours of discharge. Design: A descriptive prospective study. Population, Sample, Setting, Years: A purposeful sample of 190 adult AS patients from four facilities in the northeastern US. Patients were included if they were discharged within 4 hours of surgery, had not experienced nasuea anv vomiting prior to discharge, but did experience PDNV within the 24 hours of discharge. Data were collected from November 2001 to May, 2002. Concepts: Post operative nausea and vomiting, self-care activities. Methods: After IRB approval, adult AS patients were approached during the preoperative period. Data was collected by telephone during the standard 24 hour post discharge nursing assessment. Questions on self-care activities were developed by the researcher and pilot tested on 20 ASC patients for clarity and ease of understanding. Findings: The most frequent explanation provided for PDNV was pain medication, followed by anesthesia and movement. The most frequently reported self-care activity was to stop taking pain medication. Additional self-care activities included drinking or eating. Only seven subjects contacted their physician. Self-care activities were effective for over 70% of subjects. Conclusions: While pain is a known risk factor for PDNV, unrelieved post operative pain can also lead to more serious complications such as post operative atelectasis and poor wound healing. While stopping pain medication may be an effective in relieving PDNV, subjects in this study chose a self-care activity that could be detrimental to their recovery. Implications: Nurses must provide information to patients prior to discharge on self-care activities that can best manage PDNV without increasing risk of post operative pain. Further study is needed to determine an appropriate pain management strategy in the presence of PONV.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleSelf-Care Activities for Post-discharge Nausea and Vomiting Following Ambulatory Surgeryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156672-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Self-Care Activities for Post-discharge Nausea and Vomiting Following Ambulatory Surgery</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Fetzer, Susan J., RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of New Hampshire</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sfetzer@cisunix.unh.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: The purpose of this study was to describe self-care activities that ambulatory surgical(AS) patients use to manage post operative nausea and vomiting (PDNV) during the first 24 hours of discharge. Design: A descriptive prospective study. Population, Sample, Setting, Years: A purposeful sample of 190 adult AS patients from four facilities in the northeastern US. Patients were included if they were discharged within 4 hours of surgery, had not experienced nasuea anv vomiting prior to discharge, but did experience PDNV within the 24 hours of discharge. Data were collected from November 2001 to May, 2002. Concepts: Post operative nausea and vomiting, self-care activities. Methods: After IRB approval, adult AS patients were approached during the preoperative period. Data was collected by telephone during the standard 24 hour post discharge nursing assessment. Questions on self-care activities were developed by the researcher and pilot tested on 20 ASC patients for clarity and ease of understanding. Findings: The most frequent explanation provided for PDNV was pain medication, followed by anesthesia and movement. The most frequently reported self-care activity was to stop taking pain medication. Additional self-care activities included drinking or eating. Only seven subjects contacted their physician. Self-care activities were effective for over 70% of subjects. Conclusions: While pain is a known risk factor for PDNV, unrelieved post operative pain can also lead to more serious complications such as post operative atelectasis and poor wound healing. While stopping pain medication may be an effective in relieving PDNV, subjects in this study chose a self-care activity that could be detrimental to their recovery. Implications: Nurses must provide information to patients prior to discharge on self-care activities that can best manage PDNV without increasing risk of post operative pain. Further study is needed to determine an appropriate pain management strategy in the presence of PONV.</td></tr></table>en_GB
dc.date.available2011-10-26T15:00:49Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T15:00:49Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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