1. Optimize patient outcomes among females undergoing gynecological surgery: A randomized controlled trial
- Author
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Kari Johnson, Alex Cain, Sherry Razo, Kathi Soper, and Jeannie Smith
- Subjects
Adult ,medicine.medical_specialty ,Evidence-based practice ,medicine.medical_treatment ,Patient Readmission ,law.invention ,03 medical and health sciences ,Nursing care ,Gynecologic Surgical Procedures ,Postoperative Complications ,0302 clinical medicine ,Patient satisfaction ,Patient Education as Topic ,Randomized controlled trial ,law ,Humans ,Medicine ,Prospective Studies ,030212 general & internal medicine ,General Nursing ,Completely randomized design ,Gynecological surgery ,Aged ,Aged, 80 and over ,Hysterectomy ,030504 nursing ,business.industry ,Recovery of Function ,Length of Stay ,Middle Aged ,Patient Discharge ,Bundle ,Physical therapy ,Female ,0305 other medical science ,business - Abstract
Background Optimizing early education in gynecological procedures utilizing an Enhanced Recovery after Surgery (ERAS) program and a bundle concept may optimize patient outcomes after surgery. Purpose Evaluate whether an ERAS bundle compared to standard education can affect length of stay, 30 day readmission, and patient satisfaction among patients undergoing gynecologic surgery. Design Prospective, comparative, randomized design Setting 28 bed Medical Surgical Unit Sample/Intervention 50 patients undergoing hysterectomy, 25 who received post-operative evidence based bundle/standard education, and 25 who received standard education packet. Bundle components included 1) early mobilization, 2) early transition to oral pain medication, 3) early feeding, and 4) chewing gum. A follow-up phone call was made in two to three days following discharge for both groups utilizing teach-back. Results 84% (n = 21) patients in the bundle group were discharged in one day. There were no 30 day readmissions for both groups. Twenty two (88%) participants met the bundle components 100% of the time. For the indicator “walking helped with recovery” 100% (n = 25) responded “very good to excellent” for bundle group and 96% (n = 24) responded “very good to excellent” for standard group. Twenty three (92%) of the bundle group felt that that overall nursing care received was very good to excellent and 24 (96%) of the general group felt that overall nursing care received was very good to excellent. Conclusion Optimizing peri-operative education using a bundle approach to provide evidence based interventions can minimize risk and enhance early recovery for females undergoing gynecological surgery.
- Published
- 2019