2.50
Hdl Handle:
http://hdl.handle.net/10755/161824
Category:
Abstract
Type:
Presentation
Title:
Factors Associated with Readiness to Discharge from Recovery
Author(s):
Tuvayanon, Warisara; Akaravputh, Thawatchai; Asdornwised, Usavadee; Torskulkao, Tipa
Author Details:
Warisara Tuvayanon, MNS, RN, Siriraj Hospital, Bangkok-noi, Thailand, email: pukor5@hotmail.com; Asst. Prof. Thawatchai Akaravputh; Asst. Prof. Dr. Usavadee Asdornwised, PhD, RN; Asst. Prof. Dr. Tipa Torskulkao
Abstract:
Poster presented at AORN's 58th Annual Congress: Purpose: To examine the relationship between preoperative anxiety, preoperative information need, body mass index, operative time, abdominal distension, and discharge readiness from the recovery room in patients with laparoscopic cholecystectomy. Hypothesis: Factors including preoperative anxiety, preoperative information needs, body mass index, operative time, and abdominal distension are positively correlated with readiness time to discharge from recovery room. Methodology: The study using the pathophysiology concept of human response to surgery and anesthesia. The study sample consisted of 126 patients undergoing laparoscopic cholecystectomy surgery, 18 years of age or older, and admitted to Siriraj Hospital. The data were collected using demographic and patient sickness data records, the Amsterdam Preoperative Anxiety and Information Scale (APAIS), abdominal distension level record form, and White's fast-track recovery score. Descriptive statistics and Pearson's product moment correlations were employed for data analysis. Results: Most of the subjects were female (68.3%) with an average age of 55.5 +/- 15.3 years; 27.8% of the subjects were anxious, and most of these (74.1%) were female. The average level of subjects' preoperative information need was 35%; 49.2% of the subjects had a normal body mass index. The mean operative time was 60.7 +/- 23.6 minutes; 56.9% of the subjects had abdominal distension in recovery period, especially 22.2% who had a medium level of abdominal distension. Both preoperative anxiety and abdominal distension had significant, moderate positive correlations with readiness time to discharge from the recovery room (r = .64, p <.01 and r = .63, p<.01, respectively). Similarly, preoperative information need and body mass index had significant, low positive correlations with readiness time to discharge from the recovery room (r = .32, p <.01 and r = .20, p <.05, respectively). However, the operative time was not correlated with readiness time to discharge from the recovery room. Research Limitation: These research findings may have limitations with reference to the population because it comprises the convenience sample of 126 patients who undergoing laparoscopic cholecystectomy only at Siriraj Hospital. Perioperative Nursing Implications: Perioperative nurses should pay more attention to preoperative information need, decrease preoperative anxiety, and collaborate with multidisciplinary teams to reduce CO2 gas retention in the abdomen before wound closing in patients with laparoscopic cholecystectomy surgery in order to promote faster and better postoperative recovery.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFactors Associated with Readiness to Discharge from Recoveryen_GB
dc.contributor.authorTuvayanon, Warisaraen_US
dc.contributor.authorAkaravputh, Thawatchaien_US
dc.contributor.authorAsdornwised, Usavadeeen_US
dc.contributor.authorTorskulkao, Tipaen_US
dc.author.detailsWarisara Tuvayanon, MNS, RN, Siriraj Hospital, Bangkok-noi, Thailand, email: pukor5@hotmail.com; Asst. Prof. Thawatchai Akaravputh; Asst. Prof. Dr. Usavadee Asdornwised, PhD, RN; Asst. Prof. Dr. Tipa Torskulkaoen_US
dc.identifier.urihttp://hdl.handle.net/10755/161824-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Purpose: To examine the relationship between preoperative anxiety, preoperative information need, body mass index, operative time, abdominal distension, and discharge readiness from the recovery room in patients with laparoscopic cholecystectomy. Hypothesis: Factors including preoperative anxiety, preoperative information needs, body mass index, operative time, and abdominal distension are positively correlated with readiness time to discharge from recovery room. Methodology: The study using the pathophysiology concept of human response to surgery and anesthesia. The study sample consisted of 126 patients undergoing laparoscopic cholecystectomy surgery, 18 years of age or older, and admitted to Siriraj Hospital. The data were collected using demographic and patient sickness data records, the Amsterdam Preoperative Anxiety and Information Scale (APAIS), abdominal distension level record form, and White's fast-track recovery score. Descriptive statistics and Pearson's product moment correlations were employed for data analysis. Results: Most of the subjects were female (68.3%) with an average age of 55.5 +/- 15.3 years; 27.8% of the subjects were anxious, and most of these (74.1%) were female. The average level of subjects' preoperative information need was 35%; 49.2% of the subjects had a normal body mass index. The mean operative time was 60.7 +/- 23.6 minutes; 56.9% of the subjects had abdominal distension in recovery period, especially 22.2% who had a medium level of abdominal distension. Both preoperative anxiety and abdominal distension had significant, moderate positive correlations with readiness time to discharge from the recovery room (r = .64, p &lt;.01 and r = .63, p&lt;.01, respectively). Similarly, preoperative information need and body mass index had significant, low positive correlations with readiness time to discharge from the recovery room (r = .32, p &lt;.01 and r = .20, p &lt;.05, respectively). However, the operative time was not correlated with readiness time to discharge from the recovery room. Research Limitation: These research findings may have limitations with reference to the population because it comprises the convenience sample of 126 patients who undergoing laparoscopic cholecystectomy only at Siriraj Hospital. Perioperative Nursing Implications: Perioperative nurses should pay more attention to preoperative information need, decrease preoperative anxiety, and collaborate with multidisciplinary teams to reduce CO2 gas retention in the abdomen before wound closing in patients with laparoscopic cholecystectomy surgery in order to promote faster and better postoperative recovery.en_GB
dc.date.available2011-10-27T08:41:14Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:41:14Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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