Factors predicting recovery in patients with post total laparoscopic hysterectomy

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Nongnapath Somthong
Ratsiri Thato

Abstract

Background: Recovery is the goal of health-care services that emphasizes on patient’s point of recovery in those who receive total laparoscopic hysterectomy to return to normal and active daily living and well-being. There are a number of factors involving the recovery which includes duration of pelvic pain of pre-operation, body mass index of pre-operation, patient’s ability post-operation, anxiety of the patient pre-operation, and knowledge of the patient about preoperation.


Objective: To identify predictive factors for recovery among patients with post total laparoscopic hysterectomy.


Methods: A multi-stage sampling from 2 sectiondary hospitals, King Chulalongkorn Memorial Hospital and Rajavithi Hospital, recruited 109 subjects. Their data were collected using 7 questionnaires:


1) demographic data form;


2) duration pelvic pain before operation;


3) body mass index record;


4) post-operation ability of the patient;


5) hospital anxiety scale;


6) knowledge about pre-operation; and


7) quality of recovery.


The data were analyzed using stepwise multipleregression.


Results: Recovery of patients with post total laparoscopic hysterectomy was of moderate level (17.36 + 3.09). Significant factors to recoveryamong patients with total laparoscopic hysterectomy were anxiety of pre-operation (beta = - 0.35), knowledge about pre-operation (beta = 0.41), ability of the patient post-operation (beta = 0.26) and body mass index of pre-operation (beta = - 0.25). However, duration pelvic pain of pre-operation was not significant factor. They could explan the 63.2% of recovery in patients with post total laparoscopic hysterectomy
(P < 0.05).


Conclusion: This study promotes postoperative recovery in patients with post total laparoscopic hysterectomy.

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