Situational analysis of early ambulation promotion in abdominal surgery patients, surgery and orthodontics in patient. Unit, sirinthornkhonkaen province hospital

Abstract

Objective : Appendicitis is the disease often found in the surgery. Traditional treatment is by open abdominal surgery. The procedure requires anesthesia before surgery through the abdominal wall. After surgery, inflammation, swelling, and decreased bowel movements may occur. Postoperative Patients often have complications such as flatulence, surgical wound infections. Based on surgical statistics of patients in surgical and orthopedic wards of the Sirindhorn Khon Kaen hospital between 1 October 2016 – 31 March 2017, the average hospital stay was 5.59 ± 1.96 days. Compared with the National Health Security Office (NHSO) surveyed in 2014, the average hospital stay was 3.06 days per day. As a nurse practitioner in surgical and orthopedic wards, I was interested in studying the situation of early ambulatory promotion within the first 24 hours after the abdominal appendectomy. The purpose of this study was to investigate the situation promoting stimulus activities in a structured manner, process and the results. Material and methods : Study in 2 patient groups are 30 patients underwent open abdominal appendectomy. From October to November 2017 and 10 nurses working in surgery and orthopedic wards. The data were collected by questionnaires for analyze data. The frequency, percentage, standard deviation and t-test was used for comparing the average of hospital stay days with the t-test statistic at the confidence level of 95%. Results : The study indicated that 50% of nurse indicates the structure has no clear policy, 70% of nurse indicates the continuity of stimulus activities and for the result found that 5 patients had flatulence , average hospital stay was 3.37 ±0.99 day that is not significant difference from National Health Security Office (NHSO) surveyed in 2014 (p-value = 0.104)