Telephonic nursing intervention for laparoscopic cholecystectomy and hernia repair: A randomized controlled study

Abstract

Background: Patient undergoing surgery may be afraid and concerned about the diagnosis, the treatment, the procedure, the postoperative care, and the surgical recovery. Good communication between staff and patients can minimize or prevent this situation. This study aimed to evaluate the effectiveness of a Telecare nursing intervention, "Telephone consultation", in reducing the "Delayed surgical recovery" nursing diagnosis in patients undergoing laparoscopic cholecystectomy and hernia repair. Methods: This study was performed in two different institutions located in Rio de Janeiro, Brazil. A total of 43 patients were enrolled. The experimental group consisted of 22 patients who had access to the telephone followup intervention, and the control group consisted of 21 patients who received conventional treatment without telephone follow-up. This was a randomized controlled study with patients who were 60 years or older and awaiting operative procedures of hernia repair and laparoscopic cholecystectomy who had a mobile or landline phone and were available for telephone contact. Results: There was a reduction in "loss of appetite with nausea" (p = 0.013); "need help to complete self-care" (p = 0.041); "pain" (p = 0.041); and "postoperative sensation" (p = 0.023). The experimental group showed a significantly larger decrease in factors related to the "Delayed surgical recovery" diagnosis, suggesting a positive effect of the intervention compared to the effect in control group.\. Conclusion: Telephone consultation identified factors that increased the risk of complications after surgery, recognized potential patients for delayed surgical recovery and helped perioperative nurses provide accurate interventions to prevent or mitigate delayed recovery. This study was registered in the platform Brazilian Registry of Clinical Trials (ReBEC)-link: http://www. ensaiosclinicos.gov.br under registration number RBR-4C249M, retrospectively registered on April 13, 2020.

Indicators and predictors modifiable by the nursing department during the preoperative period: A scoping review

“…Anxiety is a temporary emotional state of fear, nervousness and tension caused by a highly active autonomic system (Fu et al, 2020). This modifiable indicator or predictor is mentioned in seven of the articles reviewed (Ayyadhah Alanazi, 2014; Brown et al, 2018; Crump et al, 2015; Johansson Stark et al, 2014; McClurkin & Smith, 2016; Pettersson et al, 2017; da Silva Schulz et al, 2020).…”

“…Many of these articles emphasise the importance of information flow between healthcare professionals and patients in facilitating the control of preoperative anxiety. This information flow might be achieved via prior consultations in which health education and structured information are provided, thus ensuring that the knowledge received is in line with the patient's expectations (Brown et al, 2018; Johansson Stark et al, 2014; Pettersson et al, 2017; da Silva Schulz et al, 2020). The factors that may influence the effectiveness of information transmission include the patient's education background, the presence or absence of depression, the training of the healthcare professionals involved and the time available for this purpose (Johansson Stark et al, 2014).…”

“…Of the 18 articles originally considered, three were discarded because the corresponding QATSDD score obtained was less than 65% (Perlini et al, 2020;Taylor et al, 2020). This cut-off point was established of based on reference 2014;Brown et al, 2018;Crump et al, 2015;Derseh et al, 2020;Dries, 2018;Husted, 2012;Johansson Stark et al, 2014;Liederbach et al, 2015;de Lorenzo-Pinto et al, 2019;McClurkin & Smith, 2016;Papadopoulos et al, 2016;Pettersson et al, 2017;da Silva Schulz et al, 2020;Vogl et al, 2015;Wyatt et al, 2018) (Table 2).…”

“…Among the articles reviewed, the two most frequent years of publication were 2018 (Brown et al, 2018;Dries, 2018;Wyatt et al, 2018) and 2020 (Derseh et al, 2020;da Silva Schulz et al, 2020;Vogl et al, 2015) (n = 3), followed by 2012 (Husted, 2012;Johansson Stark et al, 2014), 2015 (Crump et al, 2015;Liederbach et al, 2015) (n = 2), 2011 (Papadopoulos et al, 2016), 2014 (Ayyadhah Alanazi, The articles reviewed were conducted in 18 countries and five continents. By location, the largest number of articles originated from the United States (17%), followed by Germany (10%), Australia, Brazil, Canada, United Kingdom and Sweden (7% each) and Austria, China, Denmark, Spain, Ethiopia, Finland, France, Islamic Republic of Iran, Iceland, Japan and Norway (3% each) (Figure 3).…”

“…This modifiable indicator or predictor is mentioned in seven of the articles reviewed (Ayyadhah Alanazi, 2014;Brown et al, 2018;Crump et al, 2015;Johansson Stark et al, 2014;McClurkin & Smith, 2016;Pettersson et al, 2017;da Silva Schulz et al, 2020).…”