In our study, patients in the intervention group
became alert earlier and cooperated more efficiently with
nurses, and their vital signs stabilized faster than in the
control group. Mean time to achieve an Aldrete consciousness
score of 9 (15) in the intervention and control
groups was 18 and 30 minutes, respectively. Time intervals to vital signs stabilization, to get out of bed and
to start eating were significantly less in the intervention
group. Physical recovery, postoperative complications,
postoperative pain and nausea were also significantly better.
Length of stay and flatus were not significantly different
between the two groups.
These favourable results may be attributed to better
understanding of the benefits of mobility and more efficacious
walking. There may also be less interference of
pain and anxiety with the patient’s daily function, leading
to fewer symptoms. The supportive and informative
preoperative nursing visits may result in better patient
perception of surgery, anaesthesia and recovery. Evidence
suggests that the beneficial impact of a preoperative
nursing visit on physical recovery and postoperative
complications are immediate rather than long-term (16).
Arthur et al. (17) showed that patients receiving preoperative
intervention spend 2 hours less in the intensive
care unit and are discharged 1 day earlier. Duration of
hospital stay did not differ significantly between our
groups, which could be because laparoscopic patients
remain under close postoperative observation for a specific
duration.
One limitation of this study was its relatively small
sample size. Conducting the study in two distinct centres
with similar features of nursing visits may weigh against
the benefits of a larger population studied in a single centre.
Another limitation of our study was the low score of
trait anxiety in the intervention group just before entering
the OR. As emphasized by Spielberg, this is a consistent
feature that is unaffected by simple intervention.
This inconsistency may be caused by the limited interview
time on the day of surgery, resulting in insufficient
data gathering time.
In our study, patients in the intervention groupbecame alert earlier and cooperated more efficiently withnurses, and their vital signs stabilized faster than in thecontrol group. Mean time to achieve an Aldrete consciousnessscore of 9 (15) in the intervention and controlgroups was 18 and 30 minutes, respectively. Time intervals to vital signs stabilization, to get out of bed andto start eating were significantly less in the interventiongroup. Physical recovery, postoperative complications,postoperative pain and nausea were also significantly better.Length of stay and flatus were not significantly differentbetween the two groups.These favourable results may be attributed to betterunderstanding of the benefits of mobility and more efficaciouswalking. There may also be less interference ofpain and anxiety with the patient’s daily function, leadingto fewer symptoms. The supportive and informativepreoperative nursing visits may result in better patientperception of surgery, anaesthesia and recovery. Evidencesuggests that the beneficial impact of a preoperativenursing visit on physical recovery and postoperativecomplications are immediate rather than long-term (16).Arthur et al. (17) showed that patients receiving preoperativeintervention spend 2 hours less in the intensivecare unit and are discharged 1 day earlier. Duration ofhospital stay did not differ significantly between ourgroups, which could be because laparoscopic patientsremain under close postoperative observation for a specificduration.One limitation of this study was its relatively smallsample size. Conducting the study in two distinct centreswith similar features of nursing visits may weigh againstthe benefits of a larger population studied in a single centre.Another limitation of our study was the low score oftrait anxiety in the intervention group just before enteringthe OR. As emphasized by Spielberg, this is a consistentfeature that is unaffected by simple intervention.This inconsistency may be caused by the limited interviewtime on the day of surgery, resulting in insufficientdata gathering time.
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