Knowledge of Risk Factors for Surgical Complications and Psychosocial Well-Being Among Post-Operative Patients in Selected State Hospitals in South West, Nigeria
Keywords:
Knowledge, Risk Factors, Surgical Complications, Psychosocial Well-Being, Postoperative Patients, NigeriaAbstract
Introduction: The study assessed the knowledge of risk factors for surgical complications; assessed the state of psychosocial well-being of postoperative patients after surgical intervention; identified factors for psychosocial well-being and determined the association between demographic variables and knowledge of risk factors for surgical complications among post-operative patients.
Methods: The study employed a descriptive cross-sectional design. Random sampling technique was used to select two hospitals and a census was adopted to select 80 respondents. Structured questionnaire was used to collect data that were analyzed using Statistical Package for Social Sciences version 25.0. Descriptive statistics were used to present data and inferential statistics were used to test association between variables at p value ≤ 0.05.
Results: The mean age of respondents was 30.28±2.68 years and 28.7%, 37.5% and 33.8% of respondents have good, moderate and poor knowledge of risk factors of complications of surgical interventions, respectively. Also, 45% had poor psychosocial wellbeing, 42.5% had good psychosocial wellbeing, and 12.5% had fair psychosocial wellbeing level. Factors influencing the psychosocial well-being of post-operative patients were the type of surgery, duration of surgery, and presence of other ailments. Most respondents (82.5%) believed that adherence to drug regimens enhances speedy recovery, while 25.0% said smoking and drinking alcohol improves wound healing. There was a significant relationship between knowledge of risk factors for complications of surgical intervention and the psychosocial well-being of post-operative patients (p =0.01).
Conclusion: A considerable percentage of surgical patients had poor knowledge of risk factors for complications and poor psychosocial well-being. Hence, there is a need to improve on the pre-operative education of patients to increase their knowledge on the risk factors for complications of surgical interventions.
References
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2014; 240:205–213.
Ukwenya YA, Ahmed A, Ameh EA. Adverse events and patient safety from the surgical perspective. Arch Int Surg. 2014; 4(2):65.
Tevis SE, Kennedy GD. Postoperative complications and implications on patient-centered outcomes. J Surg Res. 2013;181(1):106-13.
Hawn MT, Itani KM, Giobbie-Hurder A. Patient-reported outcomes after inguinal herniorrhaphy. Surgery. 2016; 140:198–205.
Polese L, Vecchiato M, Frigo AC. Risk factors for colorectal anastomotic stenoses and their impact on quality of life: What are the lessons to learn? Colorectal Dis. 2012; 14:e124–128.
Aspari AR, Lakshman K. Effects of pre-operative psychological status on post-operative recovery: a prospective study. World J Surg. 2018; 42:12-8.
Jaensson M, Dahlberg K, Nilsson U. Factors influencing day surgery patients’ quality of postoperative recovery and satisfaction with recovery: a narrative review. Periop Med. 2019; 8:1-7.
Nilsson U, Berg K, Unosson M, Brudin L, Idvall E. Relation between personality and quality of postoperative recovery in day surgery patients. Euro J Anaesthesiol. 2009; 26(8):671-5.
Pinto A, Faiz O, Davis R, Almoudaris A, Vincent C. Surgical complications and their impact on patients’ psychosocial well-being: a systematic review and meta-analysis. BMJ open. 2016; 6(2):e007224.
Eiroa-Orosa FJ. Understanding psychosocial wellbeing in the context of complex and multidimensional problems. Int J Environ Res Pub Health. 2020; 17(16):5937.
Das KV, Jones-Harrell C, Fan Y, Ramaswami A, Orlove B, Botchwey N. Understanding subjective well-being: perspectives from psychology and public health. Pub Health Rev. 2020; 41(1):1-32.
Nilsson U, Gruen R, Myles PS. Postoperative recovery: the importance of the team. Anaesthesia. 2020; 75:e158-64.
Shawa E. Patients' perceptions regarding nursing care in the general surgical wards at kenyatta national hospital. 2012 (Doctoral dissertation).
Atinyagrika AB, Aziato L. Surgical patients’ perspectives on nurses’ education on post-operative care and follow up in Northern Ghana. BMC nursing. 2018; 17(1):1-9.
Mogoanta SS, Paitici S, Mogoanta CA. Postoperative follow-up and recovery after abdominal surgery. In: Abdominal Surgery-A Brief Overview. 2021; IntechOpen.
Roy M, Corkum JP, Urbach DR, Novak CB, von Schroeder HP, McCabe SJ, et al. Health literacy among surgical patients: a systematic review and meta-analysis. World J Surg. 2019; 43:96-106.
Berg K, Årestedt K, Kjellgren K. Postoperative recovery from the perspective of day surgery patients: a phenomenographic study. Inter JNursing Stud. 2013; 50(12):1630-1638.
Greenslade M, Elliott B, Mandville-Anstey SA. Same-day breast cancer surgery: a qualitative study of women's lived experiences. InOncol nursing forum; 2010; 37(2):2–7.
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Int Med. 2011; 155(2):97-107.
De Oliveira GS, McCarthy RJ, Wolf MS, Holl J. The impact of health literacy in the care of surgical patients: a qualitative systematic review. BMC surgery. 2015; 15:1-7.
Roh YH, Do Koh Y, Kim JO, Noh JH, Gong HS, Baek GH. Patients with limited health literacy have similar preferences but different perceptions in surgical decision-making for carpal tunnel release. Clin Ortho Rel Res. 2018; 476(4):846-851.
Nilsson U, Jaensson M, Dahlberg K, Odencrants S, Grönlund Å, Hagberg L, et al. RAPP, a systematic e-assessment of postoperative recovery in patients undergoing day surgery: study protocol for a mixed-methods study design including a multicentre, two-group, parallel, single-blind randomised controlled trial and qualitative interview studies. BMJ open. 2016; 6(1):e009901.
Ali A, Lindstrand A, Sundberg M, Flivik G. Preoperative anxiety and depression correlate with dissatisfaction after total knee arthroplasty: a prospective longitudinal cohort study of 186 patients, with 4-year follow-up. The J Arthroplasty. 2017; 32(3):767-70.
Adogwa O, Carr K, Fatemi P, Verla T, Gazcon G, Gottfried O, et al. Psychosocial factors and surgical outcomes: are elderly depressed patients less satisfied with surgery? Spine. 2014; 39(19):1614-1619.
Aspari AR, Lakshman K. Effects of pre-operative psychological status on post-operative recovery: a prospective study. World J Surg. 2018; 42:12-18.
Apfel CC, Philip BK, Cakmakkaya OS, Shilling A, Shi YY, Leslie JB, et al. Who is at risk for post-discharge nausea and vomiting after ambulatory surgery? J Am Soc Anesthesiol. 2012; 117(3):475-486.
Jaensson M, Dahlberg K, Eriksson M, Nilsson U Evaluation of postoperative recovery in day surgery patients using a mobile phone application: a multicentre randomized trial. Brit J Anaes. 2017; 119(5):1030-1038.
Rucker D, Warkentin LM, Huynh H, Khadaroo RG. Sex differences in the treatment and outcome of emergency general surgery. PLoS One. 2019; 14(11):e0224278.
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