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Home recovery following day surgery: a patient perspective

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  • Mark Mitchell

Abstract

Aims and objectives To investigate aspects of care potentially most influencing home recovery following day surgery. Background Elective surgery undertaken on a day‐case basis is expanding. Many medical aspects of recovery have been investigated although less is known about the psychosocial view of postdischarge recovery. Greater insight into such issues is required for the development of a more coordinated nurse‐led approach. Design Cross‐sectional questionnaire. Method As part of a larger study, questionnaires were distributed to 2401 adult patients on the day of operation (September 2010–October 2011) to examine patients' experiences of psychosocial recovery. Participants were requested to complete and return the questionnaire by mail one week after surgery with 684 returned. Results Eighty‐five per cent were fully prepared for all events during home recovery. Satisfaction with pre‐ and postoperative surgical information was high although less so anaesthetic information. Using factor analysis, preoperative information, pain management, postdischarge information, anxiety management, postoperative nausea and vomiting, help and rest once home were central features. Multiple regression analysis demonstrated pre‐ and postoperative information provision to have a statistically significant positive association with patients' being ‘fully prepared for all events during home recover’. Unsatisfactory pain management, increased anxiety and reduced help once home had a statistically significant negative association with patients' being ‘fully prepared for all events during home recovery’. Conclusion Focusing on the delivery of surgical and anaesthetic information, managing pain and anxiety and ensuring support once home may help to enhance recovery. A more comprehensive plan embracing such aspects could help enhance the day surgery patients' experience. Relevance to clinical practice Increased satisfaction and surgical/anaesthetic information are central to the continued success of minimal‐stay surgery. A broader hospital/home strategy is required as too frequently nursing care can become fragmented between the preoperative outpatient visit, preassessment, day of surgery and postoperative outpatient visit.

Suggested Citation

  • Mark Mitchell, 2015. "Home recovery following day surgery: a patient perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(3-4), pages 415-427, February.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:3-4:p:415-427
    DOI: 10.1111/jocn.12615
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    References listed on IDEAS

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    1. Berith Wennström & Margareta Warrén Stomberg & Marina Modin & Stefan Skullman, 2010. "Patient symptoms after colonic surgery in the era of enhanced recovery – a long‐term follow‐up," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(5‐6), pages 666-672, March.
    2. Linda Fraczyk & Helen Godfrey, 2010. "Perceived levels of satisfaction with the preoperative assessment service experienced by patients undergoing general anaesthesia in a day surgery setting," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(19‐20), pages 2849-2859, October.
    3. Anne Mottram, 2011. "‘They are marvellous with you whilst you are in but the aftercare is rubbish’: a grounded theory study of patients’ and their carers’ experiences after discharge following day surgery," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(21‐22), pages 3143-3151, November.
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    Cited by:

    1. Eun-Young Jun & Hyunjin Oh, 2017. "Patient Needs and Satisfaction With Nursing Care After Day Surgery Based on a Patient-Centered Care Framework," Clinical Nursing Research, , vol. 26(3), pages 301-317, June.
    2. Björn Stessel & Maarten Hendrickx & Caroline Pelckmans & Gerrit De Wachter & Bart Appeltans & Geert Braeken & Jeroen Herbots & Elbert Joosten & Marc Van de Velde & Wolfgang F F A Buhre, 2021. "One-month recovery profile and prevalence and predictors of quality of recovery after painful day case surgery: Secondary analysis of a randomized controlled trial," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-15, January.

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