Nursing Diagnosis Risk for Delayed Surgical Recovery (00246) in Adult and Elderly: A Case-Control Study

Abstract

PURPOSE

The study's objective was the clinical validation of the nursing diagnosis Risk for delayed surgical recovery (00246).

METHOD

Case control study was conducted in a university hospital; the charts of 239 patient, 71 cases and 168 controls. Odds ratio was calculated for the association between each risk factor and the outcome of delayed surgical recovery.

RESULTS

Risk factors with higher odds of association were malnutrition, pain, and postoperative emotional response. The associated conditions were perioperative surgical site infection, psychological disorder in the postoperative period, and surgical site contamination.

CONCLUSION

Risk factors have different impact on the postoperative recovery.

IMPLICATIONS FOR NURSING PRACTICE

Knowing the magnitude of the risk factors allows a decision making best interventions for a fast surgical recovery.

Keywords

case-control studies nursing diagnosis perioperative nursing

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References

Aahlin

E. K.

Tranø

Johns

Horn

Søreide

J. A.

Fearon

K. C.

, … Lassen

(2015). Risk factors, complications and survival after upper abdominal surgery: a prospective cohort study. BMC Surgery, 15(1), 83.

Aga

Keinan-Boker

Eithan

Mais

Rabinovich

Nassar

(2015). Surgical site infections after abdominal surgery: incidence and risk factors. A prospective cohort study. Infectious Diseases, 47(11), 761–767.

Anderson

D. J.

Podgorny

Berrios-Torres

S. I.

Bratzler

D. W.

Dellinger

E. P.

Greene

, … Kaye

K. S.

(2014). Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infection Control & Hospital Epidemiology, 35(S2), S66–S88.

Bach

Wölbling

Gross

A. J.

Netsch

Tauber

Pottek

, … Brunken

(2017). Prospective assessment of perioperative course in 2648 patients after surgical treatment of benign prostatic obstruction. World Journal of Urology, 35(2), 285-292.

Basques

B. A.

Bohl

D. D.

Golinvaux

N. S.

Leslie

M. P.

Baumgaertner

M. R.

Grauer

J. N.

(2015). Postoperative length of stay and 30-day readmission after geriatric hip fracture: an analysis of 8434 patients. Journal of Orthopaedic Trauma, 29(3), e115–e120.

Berg

Kjellgren

Unosson

Årestedt

(2012). Postoperative recovery and its association with health-related quality of life among day surgery patients. BMC Nursing, 11(1), 24.

Bilotta

Lauretta

M. P.

Borozdina

Mizikov

V. M.

Rosa

(2013). Postoperative delirium: risk factors, diagnosis and perioperative care. Minerva Anestesiol, 79(9), 1066–1076.

Bohl

D. D.

Shen

M. R.

Kayupov

Cvetanovich

G. L.

Della Valle

C. J.

(2016). Is hypoalbuminemia associated with septic failure and acute infection after revision total joint arthroplasty? A study of 4517 patients from the National Surgical Quality Improvement Program. The Journal of Arthroplasty, 31(5), 963–967.

Brown

Constance

Bédard

Purden

(2013). Colorectal surgery patients’ pain status, activities, satisfaction, and beliefs about pain and pain management. Pain Management Nursing, 14(4), 184–192.

10.

Economidou

Klimi

Vivilaki

V.G.

Lykeridou

(2012). Does music reduce postoperative pain? A review. Health Science Journal, 6(3), 365–377.

11.

Gan

T. J.

Diemunsch

Habib

A. S.

Kovac

Kranke

Meyer

T. A.

, … Bergese

S. D.

(2014). Consensus guidelines for the management of postoperative nausea and vomiting. Anesthesia & Analgesia, 118(1), 85–113.

12.

Godfrey

Smith

Green

Cheater

Inouye

S. K.

Young

J. B.

(2013). Developing and implementing an integrated delirium prevention system of care: a theory driven, participatory research study. BMC Health Services Research, 13(1), 341.

13.

Gruskay

J. A.

Basques

B. A.

Bohl

D. D.

Buerba

R. A.

Webb

M. L.

Grauer

J. N.

(2016). Factors affecting length of stay and complications after elective anterior cervical discectomy and fusion. Journal of Spinal Disorders and Techniques, 29(1), E34–E42.

14.

Herdman

H. T.

Kamitsuru

(Eds.). (2017). NANDA international nursing diagnoses: Definitions & classification 2018-2020. New York: Thieme.

15.

W. H.

Cajas-Monson

L. C.

Eisenstein

Parry

Cosman

Ramamoorthy

(2015). Preoperative malnutrition assessments as predictors of postoperative mortality and morbidity in colorectal cancer: an analysis of ACS-NSQIP. Nutrition Journal, 14(1), 91.

16.

Huang

Tang

Nong

Sun

(2015). Risk factors for postoperative intra-abdominal septic complications after surgery in Crohn's disease: a meta-analysis of observational studies. Journal of Crohn's and Colitis, 9(3), 293–301.

17.

Jakobson

Karjagin

Vipp

Padar

Parik

A. H.

Starkopf

, … Starkopf

(2014). Postoperative complications and mortality after major gastrointestinal surgery. Medicina, 50(2), 111–117.

18.

Kamath

A. F.

McAuliffe

C. L.

Kosseim

L. M.

Pio

Hume

(2016). Malnutrition in joint arthroplasty: prospective study indicates risk of unplanned ICU admission. Archives of Bone and Joint Surgery, 4(2), 128–131.

19.

Krell

R. W.

Girotti

M. E.

Dimick

J. B.

(2014). Extended length of stay after surgery: complications, inefficient practice, or sick patients?. JAMA surgery, 149(8), 815–820.

20.

Lambert

(2015). Postoperative pain. SA Pharmaceutical Journal, 82(2), 26–29.

21.

Lau

C. S.

Chamberlain

R. S.

(2017). Enhanced recovery after surgery programs improve patient outcomes and recovery: a meta-analysis. World Journal of Surgery, 41(4), 899–913.

22.

Malley

Kenner

Kim

Blakeney

(2015). The role of the nurse and the preoperative assessment in patient transitions. AORN Journal, 102(2), 181.e1–181.e9. 10.1016/j.aorn.2015.06.004.

23.

National Healthcare Safety Network (2017, January). Centers for Disease Control and Prevention. Surgical site infection (SSI) event. Retrieved from http://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf

24.

Nicholson

J. A.

Dowrick

A. S.

Liew

S. M.

(2012). Nutritional status and short-term outcome of hip arthroplasty. Journal of Orthopaedic Surgery, 20(3), 331–335.

25.

Pereira

S. K.

Santana

R. F.

Santos

I. D.

Soares

T. D. S.

Amaral

D. M. D.

Silva

D. M.

(2014). Análise do diagnóstico de enfermagem: recuperação cirúrgica retardada em adultos e idosos hospitalizados. REME rev. min. enferm, 18(3), 660–667.

26.

Rembold

S. M.

Santana

R. F.

deSouza

P. A.

Schwartz

S. M. D. O. X.

(2017). Nursing diagnosis risk for delayed surgical recovery (00246): Concept clarification and definition of empirical referents. International Journal of Nursing Knowledge, 29, 263–268.

27.

Ricci

W. M.

Brandt

McAndrew

Gardner

M. J.

(2015). Factors effecting delay to surgery and length of stay for hip fracture patients. Journal of Orthopaedic Trauma, 29(3), e109.

28.

Saze

Miyata

Konno

Gotoh

Anazawa

Tomotaki

, … Mori

(2015). Risk models of operative morbidities in 16,930 critically ill surgical patients based on a Japanese nationwide database. Medicine, 94(30), e1224.

29.

Schwarzkopf

Chung

Park

J. J.

Walsh

Spivak

J. M.

Steiger

(2010). Effects of perioperative blood product use on surgical site infection following thoracic and lumbar spinal surgery. Spine, 35(3), 340–346.

30.

Shoar

Naderan

Aghajani

Sahimi-Izadian

Hosseini-Araghi

Khorgami

(2016). Prevalence and determinants of depression and anxiety symptoms in surgical patients. Oman Medical Journal, 31(3), 176.

31.

Sivrikaya

G. U.

(2012). Multimodal analgesia for postoperative pain management. In Pain Management-Current Issues and Opinions. London: IntechOpen. 10.5772/29865.

32.

Song

J. W.

Chung

K. C.

(2010). Observational studies: cohort and case-control studies. Plastic and Reconstructive Surgery, 126(6), 2234–2242. 10.1097/PRS.0b013e3181f44abc

33.

Thiele

R. H.

Rea

K. M.

Turrentine

F. E.

Friel

C. M.

Hassinger

T. E.

Goudreau

B. J.

, … McMurry

T. L.

(2015). Standardization of care: impact of an enhanced recovery protocol on length of stay, complications, and direct costs after colorectal surgery. Journal of the American College of Surgeons, 220(4), 430–443.

34.

Tjeertes

E. E.

Hoeks

S. S.

Beks

S. S.

Valentijn

T. T.

Hoofwijk

A. A.

Stolker

R. J. R.

(2015). Obesity–a risk factor for postoperative complications in general surgery? BMC Anesthesiology, 15(1), 112.