Impact of Enhanced Recovery Pathway Application for Outcomes on Women Undergoing Abdomina Hysterectomy

Document Type : Original Article

Authors

1 Maternity, obstetrics and gynecological nursing, Faculty of nursing, Port Said University

2 Lecturer at obstetric and gynecological nursing department Faculty of Nursing, suez canal University

3 Lectrurer in maternal and neonatal health nursing faculty of nursing Tanta university

4 Lecturer at woman's Health and Midwifery Nursing Department, Faculty of Nursing, Mansoura University

Abstract

Background: Clinical pathway nursing management is standardized, multidisciplinary approaches to caring for
patients with a goal of decreasing length of stay and care without negatively affecting patient outcomes. Aim of Study: To
assess the Impact of Enhanced Recovery Pathway application Outcomes on Women Undergoing Abdominal hysterectomy
A quasi-experimental design (nonequivalent control group pretest/posttest) was adopted to test the proposed hypotheses.
Research setting: The research was conducted at the obstetric and gynecology department and the operative unit in
Mansoura university. Sample: A convenience sample was used to collect data; it's included 80 post hysterectomy. Data
were collected by using three tools included: Stucture interview questionaire, Assessment and Follow up Sheet and
Enhanced Recovery Pathway intervention. Results: The majority While 50% of the control group stayed in the three to
four day range following operation, over 75% of the study group only stayed in the same location for 2 days. 91.9% of the
study group and 48.6% of the control group expressed satisfaction with the care they received. Conclusion: Compared to
women who got standard perioperative care, women having abdominal hysterectomy who received enhanced recovery
after surgical protocol had shorter hospital stays and higher levels of satisfaction.Recommendation: All women having
abdominal hysterectomy should adopt enhanced recovery following surgery as normal procedure.

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