การประเมินและการพยาบาลผู้ป่วยที่มีความเปราะบางทางศัลยกรรม

Khemmarat Panruy; Napaporn Kwangtong

Authors

Khemmarat Panruy Faculty of Nursing Kuakarun, Navamindradhiraj University
Napaporn Kwangtong Faculty of Nursing Kuakarun, Navamindradhiraj University

Keywords:

surgical frailty, frailty assessment tools, surgical complications

Abstract

Introduction: Preoperative surgical frailty is characterized by a diminished capacity to maintain physiological homeostasis when patients respond to surgical stress. This condition leads to negative efficiency of organ system regulation; consequently, increasing the risks of postoperative adverse events and leads to poor treatment outcomes. Thus, nurses should assess surgical frailty to monitor the risks of complications and provide nursing interventions to address these issues before a patient undergoes a surgery.

Objectives: To present knowledge, impacts, assessment, and nursing interventions for adult and older adult patients with surgical frailty before undergoing surgery.

Key issues: Nursing care for patients with surgical frailty consists of assessment and nursing interventions focusing on nutritional management, promotion of physical exercise, psychological preparation, and prevention of cognitive impairments. Implementing these nursing interventions before undergoing surgery can improve postoperative outcomes.

Conclusion: Preoperative patients with surgical frailty are at increased risks for postoperative complications; therefore, it is imperative to assess surgical frailty and provide appropriate nursing interventions, including managing and improving nutritional status, promoting preoperative exercise, and preparing patients for psychological and cognitive changes. Improving these health conditions in the preoperative phase can promote better postoperative recovery and reduce the risks of complications, disability, and mortality.

Implication: Nurses should assess preoperative surgical frailty to plan nursing interventions for preparing patients undergoing surgery. Additionally, further research is recommended to investigate factors contributing to surgical frailty in patients with various health conditions undergoing different types of surgical procedures.

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