COMPLICATIONS, LENGTH OF SYAY, RE-ADMISSION WITH IN 28 DAYS AFTER USING THE 7 ASPECTS OF CARE IN HYSTERECTOMY PATIENTS AT GYNECOLOGICAL WARD OF CHIANGRAI PRACHANUKROH HOSPITAL

Abstract

Abstract

Background    Uterine fibroid is frequently found at approximately 25% of women aged over 35 years old and it is one of the first top five of ranking in Gynecology patients undergoing surgery. To be safe and avoid complications, the standard of care is applied to use as guidance. Therefore, Nursing Council uses 7 Aspects of care as the main systems to help a making decision in nursing implementation or linking between knowledge and implementation.

Objective  Study to the complications after surgery, length of stay and re-admission within  28  days

in hysterectomy patients after using the 7 Aspects of care.

METHODS  The  retrospective cohort study  used secondary information in hysterectomy patients undergoing surgery in Gynecological ward. (92 controlled group, 92 studied group) during August 2016 – May 2017. This studied was during January – May 2017 in hysterectomy patients undergoing surgery in Gynecological ward used 7 Aspects of care .  Data were corrected and analyzed by using statistical tool of exact probability test and t-test to compare in different time periods.

Results  The results of 92 controlled group and 92 studied group of patients revealed that studied group had more complications after surgery and less length of stay than controlled group. Studied group had purulent infected wound at 1.09%, no split wound, no urinary tract infection, the average of 3.73 days in length of stay and no re-admission within 28 days. For controlled group, they had purulent infected wound at 3.26%, split wound at 1.09%, urinary tract infection at 2.17% of 3.97 days in length of stay and re-admission within 28 days at 2.17%.

Conclusions and Discussions        Using of 7 Aspects of care can decrease the complications after surgery, length of stay and re-admission within 28 days. Therefore nurses should have guidelines for caring patients with systematically in the same directions since the first day of admission in hospital until discharge. For the good outcomes for inpatients should be use 7 Aspects of care as a routine care.