Decreasing the Incidence of Postoperative Pulmonary Complications After Cesarean Section with Preventative Use of Incentive Spirometry

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Hdl Handle:
http://hdl.handle.net/10755/183084
Category:
Abstract
Type:
Presentation
Title:
Decreasing the Incidence of Postoperative Pulmonary Complications After Cesarean Section with Preventative Use of Incentive Spirometry
Author(s):
Lester, Debra; Lawrence, Carol
Author Details:
Debra Lester, RN, Lee Memorial Health System, email: deborah.lester@leememorial.org; Carol Lawrence
Abstract:
Purpose: Although patients having cesarean sections often have several risk factors for developing postoperative pulmonary complications (PPC) (abdominal surgical site, general anesthesia, emergency surgery, and low albumin levels), incentive spirometry is inconsistently used with this population. This evidence-based practice initiative evaluated the potential benefits of incentive spirometry for all women having cesarean sections in the prevention of PPC.

Method: Operational definitions were developed from a review of the literature and were used to identify suspected evidence of PPC and strong evidence of PPC in a 3-month retrospective chart review on a 22-bed obstetrical unit to established baseline PPC rates. Staff training was conducted using the train-the-trainer model to educate staff on use of incentive spirometry with all cesarean patients. A 3-month prospective chart audit was conducted to evaluate program success. Staff and patient compliance was monitored post-implementation to promote the practice change. A cost-benefit analysis was completed to determine cost savings.

Findings: The retrospective chart review revealed a baseline PPC rate of: 5.4% strong evidence of PPC and 5.4% suspected evidence of PPC. The post intervention chart review indicated a reduction in PPC rates to: 0.02% strong evidence of PPC and .01 suspected evidence of PPC. The last two months of the post intervention period had no cases of PPC. The cost-benefit analysis demonstrated a benefit to using incentive spiromtery to prevent PPC (cost to treat $11,466 as compared to cost to prevent $365).

Discussion: Incentive spirometry provided increased protective effects against PPC in this population. Dissemination to other obstetrical units within the hospital system was completed using the same education and train-the-trainer model. Additional research is needed to evaluate the effectiveness of incentive spirometry compared to other interventions, patient preferences, and the impact on additional patient outcomes such as improved wound healing, decreased anxiety, and pain.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.
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.titleDecreasing the Incidence of Postoperative Pulmonary Complications After Cesarean Section with Preventative Use of Incentive Spirometryen_GB
dc.contributor.authorLester, Debraen_US
dc.contributor.authorLawrence, Carolen_US
dc.author.detailsDebra Lester, RN, Lee Memorial Health System, email: deborah.lester@leememorial.org; Carol Lawrenceen_US
dc.identifier.urihttp://hdl.handle.net/10755/183084-
dc.description.abstractPurpose: Although patients having cesarean sections often have several risk factors for developing postoperative pulmonary complications (PPC) (abdominal surgical site, general anesthesia, emergency surgery, and low albumin levels), incentive spirometry is inconsistently used with this population. This evidence-based practice initiative evaluated the potential benefits of incentive spirometry for all women having cesarean sections in the prevention of PPC.<br/><br/>Method: Operational definitions were developed from a review of the literature and were used to identify suspected evidence of PPC and strong evidence of PPC in a 3-month retrospective chart review on a 22-bed obstetrical unit to established baseline PPC rates. Staff training was conducted using the train-the-trainer model to educate staff on use of incentive spirometry with all cesarean patients. A 3-month prospective chart audit was conducted to evaluate program success. Staff and patient compliance was monitored post-implementation to promote the practice change. A cost-benefit analysis was completed to determine cost savings.<br/><br/>Findings: The retrospective chart review revealed a baseline PPC rate of: 5.4% strong evidence of PPC and 5.4% suspected evidence of PPC. The post intervention chart review indicated a reduction in PPC rates to: 0.02% strong evidence of PPC and .01 suspected evidence of PPC. The last two months of the post intervention period had no cases of PPC. The cost-benefit analysis demonstrated a benefit to using incentive spiromtery to prevent PPC (cost to treat $11,466 as compared to cost to prevent $365).<br/><br/>Discussion: Incentive spirometry provided increased protective effects against PPC in this population. Dissemination to other obstetrical units within the hospital system was completed using the same education and train-the-trainer model. Additional research is needed to evaluate the effectiveness of incentive spirometry compared to other interventions, patient preferences, and the impact on additional patient outcomes such as improved wound healing, decreased anxiety, and pain.en_GB
dc.date.available2011-10-28T16:13:51Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:13:51Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, USA.en_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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