Effects of postoperative recovery program on self–efficacy, quality of postoperative recovery, and postoperative complications among patients with cholangiocarcinoma

Authors

  • Supattra Sripukdee Faculty of medicine, Khon kaen university
  • Busaba Somjaivong Faculty of Nursing, Khon Kaen University
  • Attapol Titapun Faculty of Medicine, Khon Kaen University

Keywords:

patients with cholangiocarcinoma, postoperative recovery program, self-efficacy, quality of postoperative recovery, postoperative complication

Abstract

This quasi-experimental research aimed to study the effects of a postoperative recovery program on self-efficacy, quality of postoperative recovery, and postoperative complications among patients with cholangiocarcinoma (CCA). Samples were 32 patients with CCA who had undergone surgery and were admitted to inpatient wards of a tertiary hospital in the Northeast Thailand. Participants were divided into either the control group or the experimental group, with 16 patients for each group. The control group received standard care, whereas the experimental group received a postoperative recovery program that was developed based on Bandura’s self-efficacy theory. Instruments for data collection were: a self-efficacy assessment tool, a quality of postoperative recovery evaluation form, and a postoperative complication scale. Validity test of these instruments obtained Cronbach’s alpha coefficient of .81, .83, and 1, respectively. Data were analyzed using descriptive statistics, ANCOVA, Chi-square, and Fisher’s exact test.

The results showed that after receiving a postoperative recovery program, the experimental group had significantly higher perceived self-efficacy than before receiving the program (p < .05). The overall self-efficacy and the quality of postoperative recovery of the experimental group were significantly statistically higher than those of the control group (p<.05). The experimental group had significantly less postoperative complications, especially flatulence and constipation, than the control group (p<.05). Nurses should apply this program in caring for patients with CCA after surgery to promote self-efficacy, enhance quality of postoperative recovery,
and reduce postoperative complications.

References

Chamadol N, Laopaiboon V, Srinakarin J, Loilome W, Yongvanit P, Thinkhamrop B, et al. Teleconsultation ultrasonography: Anewweapon to combat cholangio carcinoma. The European Society for Medical Oncology 2017;2(3):e000231.

American Cancer Society. Bile duct cancer (cholangiocarcinoma) [Internet]. 2016. [cited 2017 Mar 25]. Available from: https://bit.ly/2bngDzp

Thorat A, Lee WC. Critical care issues after major hepatic surgery [Internet]. 2013 February 13. [cited 2015 Sep 1]. Available from: https://www.intechopen.com/chapters/42855

Spolverato G, Maqsood H, Vitale A, Alexandrescu S, Marques HP, Aldrighetti L, et al. Readmission after liver resection for intrahepatic cholangiocarcinoma: A Multiinstitutional analysis. Journal of Gastrointestinal Surgery 2015;19(7): 1334-41.

Medical records and Statistic department, Srinagarind Hospital, Khon Kaen University. Khon Khon: Srinagarind Hospital;2014. (in Thai)

Sripukdee S, Somjaivong B.Nursinginnovation development to promote early mobilization for patients who are in a critical condition after cholangiocarcinoma surgery. Journal of Nursing Science & Health 2018;41(4):13-22. (in Thai)

Bandura A, (editors). Self-efficacyinchanging societies. Cambridge: Cambridge Univ;1997.

Chobarunsitti S, Kasemkitwattana S, Chanruangvanich W. Effects of self-efficacy enhancement on patients post abdominal surgery recovery at Phaphuttabath Hospital, Saraburi. Thai Journal of Nursing Council 2008;21(3):100–14. (in Thai)

Damri S. Effects of a recovery promoting program on self-efficacy and the quality of recovery among patients with emergency abdominal surgery [Thesis]. Bangkok: Mahidol University;2010. (in Thai)

SommersJ,EngelbertRHH,Dettling-Ihnenfeldt D, Gosselink R, Spronk PE, Nollet F, et al. Physiotherapy in the intensive care unit: An evidence-based, expert driven, practical statement and rehabilitation recommendations. Clin Rehabil 2015;29(11):1051-63.

do Nascimento Junior P, Módolo NSP, Andrade S, Guimaraes MMF, Braz LG, ElDib R. Incentive spirometry for prevention of postoperative pulmonary complications in upperabdominalsurgery.The Cochrane Database of Systematic Reviews 2014; 2:CD006058.

Arici E, Tastan S, Fatih M. The effect of using an abdominal binder on postoperative gastrointestinal function, mobilization, pulmonary function, and pain in patients undergoing major abdominal surgery: A randomized controlled trial. Int J Studi 2016;62:108-17.

Oetker-Black SL, Kauth C. Evaluating a revised self-efficacy scale for preoperative patients. The Association of Perioperative Registered Nurses Journal 1995;62(2):244-50.

Stark PA, Myles PS, Burke JA. Development and psychometric evaluation of a postoperative quality of recovery score: The QoR-15. Anesthesiology 2013;118(6):1332-40.

Sommongkol S, Leethongin M, Panpruek W, Charoensisub V. Factors related to the recovery after urgent abdominal surgery in older persons. Journal of Nursing and Health Care 2017;35(3):165-74. (in Thai)

Gonella S, Delfino C, Rolfo M, Rizzo A, Esposito V, Berchialla P, et al. Effecta of video-based preoperative education intervention plus nurse-led reinforcement discussion on knowledge, self-efficacy, and resilience in patients undergoing major surgery. Clin Nurs Res 2021;30(6):753-61.

Phamorpon S, Nooyam B, Kanjanasilp P. Effect of self-efficacy-promoting programme on self-care ability of persons with stoma. Thai Journal of Nursing Council 2020;36(1):52-70. (in Thai)

Inthiyot K, Chanruangvanich W, Wongkongkam K, Oranratanaphan S. Impact of combined application of cold compression and abdominal binder as a pain management method on pain levels and postoperative ambulation in gynaecological patients having undergone open abdominal surgery. Journal of Thailand Nursing and Midwifery Council 2021;36(3)83-102. (in Thai)

Savikko J, Ilmakunnas M, Makisalo M, Nordin A, Isoniemi H. Enhanced recovery protocol after liver resection. British Journal of Surgery 2015;102:1526–32.

NI CY, Wang ZH, Huang ZP, Zhou H, Fu LJ, Cai H, et al. Early enforced mobilization after liver resection: a prospective randomized controlled trial. International Journal of Surgery 2018;54:254-8.

Silva YR, Li SK, Rickard MJFX. Does the addition of deep breathing exercises to physiotherapy-directed early mobilisation alter patient outcomes following high-risk open upper abdominal surgery? Cluster randomised controlled trial. Physiotherapy 2013;99(3):187–93.

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Published

2022-06-27

How to Cite

1.
Sripukdee S, Somjaivong B, Titapun A. Effects of postoperative recovery program on self–efficacy, quality of postoperative recovery, and postoperative complications among patients with cholangiocarcinoma. JNSH [Internet]. 2022 Jun. 27 [cited 2024 Apr. 20];45(2):78-92. Available from: https://he01.tci-thaijo.org/index.php/nah/article/view/253730

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Section

Research Article