Older Adult Patients’ Convalescence and Recovery within One Week after Abdominal Surgery at Thammasat University Hospital

Main Article Content

Issarapong Penphumphuang
Yaowarat Matchim
Prasit Mahawongkajit


This study aimed to examine older adult patients’ convalescence and recovery within one week after abdominal surgery. The study participants were 60 older adult patients undergoing major gastrointestinal surgery. The tools used for screening the participants included: 1) the Short Portable Mental Status Questionnaire (SPMSQ), and 2) the Activities of Daily Living index (ADL). The instruments used for collecting the data included: 1) a demographic data form, and 2) the Convalescence and Recovery Evaluation (CARE) measure. Descriptive statistics were used to analyze the data.

The results showed that the participants had convalescence and recovery within one week after abdominal surgery for each dimension as follows: 1) pain domain—the highest score for pain in the abdominal and belly area (M = 4.83, SD = .38); 2) the gastrointestinal domain—the highest score for bloating and gassiness (M = 3.36, SD = .55); 3) the cognitive domain—trouble concentrating (M = 3.00, SD = .55) and forgetful (M = 2.53, SD = .59); and 4) the activity domain—the participants could perform light activities during the second and fourth day after abdominal surgery (M = 2.40, SD = .69). The activity domain considered the recovery is slow. The participants with colorectal diseases had the highest scores for pain and gastrointestinal domains, whereas the participants with hepatobiliary diseases had the highest scores for cognitive and activity domains. The results of this study can be used for developing programs to enhance recovery after abdominal surgery for older adult patients.


Download data is not yet available.

Article Details

How to Cite
Penphumphuang I, Matchim Y, Mahawongkajit P. Older Adult Patients’ Convalescence and Recovery within One Week after Abdominal Surgery at Thammasat University Hospital. J Royal Thai Army Nurses [Internet]. 2020Aug.30 [cited 2020Oct.26];21(2):203-12. Available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/240343
Research Articles


1. Siripanit B. Situation of the Thai elderly 2016. Bangkok: Foundation of Thai Gerontology Research and Development Institute (TGRI); 2016. (In Thai)

2. United Nation. World population prospects. New York:Economic and Social Affairs; 2017.

3. Department of Elderly Affairs. Older adults’ statistic report 2019. Bangkok: Department of Provincial Administration; 2019. (In Thai)

4. Wold GH. Basic geriatric nursing (5thed.). China: Sabre Foundation; 2012.

5. Division of Non-Communicable Disease. Non-communicable diseases report 2017. Bangkok: Department of Disease Control; 2018. (In Thai)

6. Mitsuyoshi T, Masataka I, Naotsugu H, Ichiro T, Tsunekazu M, Hideshi I, et al. Postoperative complications in elderly patients with colorectal cancer: comparison of open and laparoscopic surgical procedures. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 2009;19(6): 488-92.

7. Ramaiah R, Lam, A. M. Postoperative cognitive dysfunction in the elderly. Anesthesiology Clinical.2009;27(3): 485-96.

8. Hudspith MJ. Anatomy, physiology and pharmacology of pain. Anesthesia and Intensive Care Medicine. 2016;17(9): 426-30.

9. Miskovic A, Lumb AB. Postoperative pulmonary complications. British Journal of Anaesthesia. 2017;118(3): 317-34.

10. Rattanamongkol C, Sindhu S, Toskulkao T, Iramaneerat C. Factors related to the severity of postoperative complications in patients with primary gastrointestinal cancer. Thai Journal of Nursing Council. 2016;31(3): 97-109. (In Thai)

11. Allvin RE, Berg K, Idvall E, Nilsson U. Postoperative recovery: a concept analysis. Journal of advanced nursing. 2007;57(5): 552-8.

12. Hollenbeck BK, Dunn RL, Wolf JSJ, Sanda MG, Wood DP, Gilbert SM, et al. Development and validation of the convalescence and recovery evaluation (CARE) for measuring quality of life after surgery. Quality of Life Research. 2008; 7:915-26.

13. Phamornpon S. The role of nurses in promoting early postoperative ambulation. Thai Red Cross Nursing Journal. 2016;9(2):14-23. (In Thai)

14. Medical record and statistics department. Statistic of gastrointestinal patients 2015-2018. Pathum thani:Thammasat University Hospital; 2018. (In Thai)

15. Yamane T. Statistics: an introductory analysis. (3rded.). New York: Harper and Row Publications; 1973.

16. Arunsaeng P. Older adults’ significant problems: Implementation. (4thed.). Khon Kaen: Klungnana Vitthaya Press; 2017. (In Thai)

17. Krisanabud P, Thosingha O, Danaidutsadeekul S, Iramaneerat C. Factors associated with recovery among patients undergoing non-traumatic general abdominal surgery within one week. Thai Journal of Nursing. 2012;27(1):39-48. (In Thai)

18. Kodra N, Shpata V, Ohri I. Risk factors for postoperative pulmonary complications after abdominal surgery. Open Access Macedonian Journal of Medical Sciences. 2016; 4(2):259-63.

19. Korol E, Johnston K, Waser N, Sifakis F, Jafri HS, Lo M, et al. A systematic review of risk factors associated with surgical site infections among surgical patients. Public Library of Science. 2013;8(12):1-9.

20. Gan TJ. Poorly controlled postoperative pain: prevalence, consequences, and prevention. Journal of Pain Research. 2017;10:2287-98.

21. Hormnaim N. The nursing roles to promote wound healing by using nutrition principles. Journal of The Police Nurse. 2014;6(2):234-49. (In Thai)

22. Beard TL, Leslie JB, Nemeth J. The opioid component of delayed gastrointestinal recovery after bowel resection. Journal of Gastrointestinal surgery. 2011;15:1259-68.

23. Tu CP, Tsai CH, Tsai CC, Huang TS, Cheng SP, Liu TP. Postoperative ileus in the elderly. International Journal of Gerontology. 2014; 8:1-5.

24. Naknonehun P, Wirojratana V, Leelahakul V, Kittiyarak C. Risk factors of early postoperative cognitive dysfunction after cardiac surgery in older adults. Journal of Nursing Science Chulalongkorn University. 2016;34(1): 156-66. (In Thai)

25. Anuvongsinlapachai R, Tantikosoom P, Rodcumdee B. The effect of symptom management program combined with reflexology on bowel function recovery in patients after open colorectal surgery. Journal of The Royal Thai Army Nurses. 2017;18:84-92. (In Thai)

26. Harnyoot O. Nursing process and implications. Journal of The Royal Thai Army Nurses. 2014;15(3):137-43. (In Thai)