EFFECT OF CLINICAL PATHWAY OF POSTOPERATIVE NURSING CAREON IMPROVING POSTOPERATIVE OUTCOMES FOR WOMEN UNDERGOING HYSTERECTOMY

Document Type : Original Article

Authors

1 maternity, obstetric and gynecologic nursing department .faculty of nursing. portsaid university

2 Assistant Professor of Maternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt

3 Lecturer ofMaternal and Newborn Health Nursing, Faculty of Nursing, Menoufia University, Egypt

Abstract

Background: Utilization of a multidisciplinary clinical pathway during care of women undergoing hysterectomy is considered to be more effective during women' management than routine hospital care.Aim: This study was conducted to investigate the effect of clinical pathway of postoperative nursing care on improving postoperative outcomesfor women undergoing hysterectomy. Design: A quasi experimental design (study and control group). Settings: The gynecology and obstetrics departments at two hospitals affiliated to University Hospital and Shebin El-Kom teaching hospital, Menoufia Governorate. Subjects: 100 women who are undergoing hysterectomywere selected. Tools: three instruments were used for data collection;a structured interviewing, numeric pain intensity scaleandpatient satisfaction record.Results: The current study shows that women underwent hysterectomy in the study group were significantly more likely to experience less mean pain score, lesser need for analgesiaand Significant differences in the length of stay were observed compared to those in the control group.Significant differences in the early oral intake, postoperative bowel mobility and need to antiemetic drugswere observed between the study and the control groups. Concerning women’s satisfaction related to the care provided,the score given was mostly satisfied and neutral. Conclusion: application of clinical pathway improving postoperative pain successfully, short length of stay postoperative outcomes related to early ambulation, early oral intake, and bowel mobility, hours to remove catheters and drains and patient satisfaction. Recommendation: Sit is recommended to generalize application of clinical pathways in other clinical areas to improve patient outcomes and reduce postoperative complications.
 

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References

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