Nursing care for gallstone surgery patients: Two Case Study

Abstract

       When gallstones are inflamed, the appropriate treatment is surgery. Nurses have a role in providing nursing care to patient’s pre-operative, during-operative, and post-operative, including discharge planning. This study therefore compared nursing care for patients who received Open Cholecystectomy and Laparoscopic Cholecystectomy. This is a report of two comparative patients. The study information from patient history and compare it according to Gordon's health plan. By period from 1 March to 19 April 2023.
       The result finds to: Case 1: Thai male patient, age 74 years, came to the hospital with a doctor's appointment for gallstone surgery. His underlying is Hypertension. The doctor’s diagnosis is symptomatic gallstone, so he had laparoscopic cholecystectomy post-operative, there were complications such as nausea, vomiting, and bloating. He has been hospitalized for 3 days. Case 2 is a 61-year-old Thai male patient who came to the hospital with symptoms of abdominal pain in the epigastric region and tightness 2 days before coming to the hospital. His underlying are Diabetes Mellitus, Hypertension and Dyslipidemia. The doctor’s diagnosis is Gangrenous cholecystitis, so he had an open cholecystectomy. There were complications such as hypotension, to be observed in the intensive care unit before being transferred to ward. He has been hospitalized for 13 days.
       From this study, what type of surgery a patient will receive depends on various factors. However, nurses play an important role in providing information to patients and relatives so that patients receive standard treatment. Therefore, the suggestion is as follows; service, operating room nurses can apply this to benefit the practice of providing services to patients and relatives, as for the administration, the nursing management team can apply this to benefit management in terms of necessity, appropriateness, value, and cost-effectiveness.