Preoperative Teaching and Hysterectomy Outcomes

This study used a theoretical model to determine whether an efficacy-enhancing teaching protocol was effective in improving immediate postoperative behaviors and selected short- and long-term health outcomes in women who underwent abdominal hysterectomies. The model used was the self-efficacy theory...

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Bibliographic Details
Published in:AORN journal 2003-06, Vol.77 (6), p.1215,1218,1221,1226,1228-1216,1218,1224,1226,1231
Main Authors: Oetker-Black, Sharon L., Jones, Susan, Estok, Patricia, Ryan, Marian, Gale, Nancy, Parker, Carla
Format: Article
Language:English
Subjects:
Adult
Care and treatment
Case studies
Clinical outcomes
Female
Humans
Hysterectomy
Hysterectomy - adverse effects
Hysterectomy - nursing
Hysterectomy - rehabilitation
Middle Aged
Models, Theoretical
Nursing
Patient Education as Topic - methods
Perioperative Nursing
Postoperative care
Practice
Preoperative care
Preoperative Care - methods
Self Concept
Side effects
Surgical nursing
Treatment Outcome
United States
Women
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Summary:This study used a theoretical model to determine whether an efficacy-enhancing teaching protocol was effective in improving immediate postoperative behaviors and selected short- and long-term health outcomes in women who underwent abdominal hysterectomies. The model used was the self-efficacy theory of Albert Bandura, PhD. One hundred eight patients in a 486-bed teaching hospital in the Midwest who underwent hysterectomies participated. The participation rate was 85%, and the attrition rate was 17% during the six-month study. The major finding was that participants in the efficacy-enhancing teaching group ambulated significantly longer than participants in the usual care group. This is an important finding because the most prevalent postoperative complications after hysterectomy are atelectasis, pneumonia, paralytic ileus, and deep vein thrombosis, and postoperative ambulation has been shown to decrease or prevent all of these complications. This finding could affect the overall health status of women undergoing hysterectomies. AORN J 77 (June 2003) 1215-1231.
ISSN:0001-2092
1878-0369
DOI:10.1016/S0001-2092(06)60983-6