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Symptoms following day surgery : A review of the literature

Rosén, Helena LU ; Clabo, Laurie M Lauzon and Mårtensson, Lena (2009) In Journal of Advanced Perioperative Care 4(1). p.7-18
Abstract

Aim: The purpose of this paper is to provide a broad-based overview of the current literature regarding patients' experiences of symptoms following day surgery. Background: The advent of new anaesthetic and anti-emetic agents, advanced surgical techniques and the need for reduced costs for inpatient hospital services, has resulted in about 70% of all surgical procedures being undertaken as day surgery (Mattila et al 2005, Qureshi et al 2006) in many countries such as the United Kingdom (UK) (Aylin et al 2005) and Europe, Australia and North America (Jarrett 2001). As more and more types of surgery, including increasingly complex procedures, are undertaken as day surgery and with the expansion of day surgery for patients who are older,... (More)

Aim: The purpose of this paper is to provide a broad-based overview of the current literature regarding patients' experiences of symptoms following day surgery. Background: The advent of new anaesthetic and anti-emetic agents, advanced surgical techniques and the need for reduced costs for inpatient hospital services, has resulted in about 70% of all surgical procedures being undertaken as day surgery (Mattila et al 2005, Qureshi et al 2006) in many countries such as the United Kingdom (UK) (Aylin et al 2005) and Europe, Australia and North America (Jarrett 2001). As more and more types of surgery, including increasingly complex procedures, are undertaken as day surgery and with the expansion of day surgery for patients who are older, frail or who have multiple co-morbidities, there is a need to expand the knowledge base regarding patients' symptom experience at home following day surgery. In particular, there is a need to examine the patients' experience of symptoms longitudinally and to examine the impact of these on the return to activities of daily living (Gudex et al 2006). Method: Nursing and health care papers published in English between 1992 and April 2008 were sought, using the Cumulative Index of Nursing and Allied Health Literature (CINAHL) database. Thirty six papers were selected and critiqued. A checklist was used to review the included studies for their type of method and the way they were designed and implemented (Goodman 1993). Findings: The wide range of studies reviewed provided further understanding of incidence, intensity and duration of symptoms experienced by patients after day surgery. Patients almost invariably report that pain and other symptoms were at their peak up to 24 hours after discharge and frequently persisted for six days or more. However, a clear picture of the symptom experience following day surgery failed to emerge because methodological differences make comparison across studies difficult. While there has been little exploration of the symptom experience longitudinally, those studies that have examined symptoms overtime suggest that the patient's experience of them does have a significant impact on their ability to function in their normal social and work roles for a prolonged period of time following day surgery. In the studies reviewed when day surgery patients' activity levels were reduced postoperatively, return to usual. activity was delayed and activities of daily living were reported as difficult to manage.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Day surgery recovery, Experience, Home and activities of daily living, Postoperative, Symptoms
in
Journal of Advanced Perioperative Care
volume
4
issue
1
pages
7 - 18
publisher
National Association of Theatre Nurses
external identifiers
  • scopus:78649443510
ISSN
1470-5664
language
English
LU publication?
no
id
b42dd2fe-2fd6-4fd3-ad30-533504bcd001
date added to LUP
2016-10-14 10:56:01
date last changed
2017-06-04 04:53:15
@article{b42dd2fe-2fd6-4fd3-ad30-533504bcd001,
  abstract     = {<p>Aim: The purpose of this paper is to provide a broad-based overview of the current literature regarding patients' experiences of symptoms following day surgery. Background: The advent of new anaesthetic and anti-emetic agents, advanced surgical techniques and the need for reduced costs for inpatient hospital services, has resulted in about 70% of all surgical procedures being undertaken as day surgery (Mattila et al 2005, Qureshi et al 2006) in many countries such as the United Kingdom (UK) (Aylin et al 2005) and Europe, Australia and North America (Jarrett 2001). As more and more types of surgery, including increasingly complex procedures, are undertaken as day surgery and with the expansion of day surgery for patients who are older, frail or who have multiple co-morbidities, there is a need to expand the knowledge base regarding patients' symptom experience at home following day surgery. In particular, there is a need to examine the patients' experience of symptoms longitudinally and to examine the impact of these on the return to activities of daily living (Gudex et al 2006). Method: Nursing and health care papers published in English between 1992 and April 2008 were sought, using the Cumulative Index of Nursing and Allied Health Literature (CINAHL) database. Thirty six papers were selected and critiqued. A checklist was used to review the included studies for their type of method and the way they were designed and implemented (Goodman 1993). Findings: The wide range of studies reviewed provided further understanding of incidence, intensity and duration of symptoms experienced by patients after day surgery. Patients almost invariably report that pain and other symptoms were at their peak up to 24 hours after discharge and frequently persisted for six days or more. However, a clear picture of the symptom experience following day surgery failed to emerge because methodological differences make comparison across studies difficult. While there has been little exploration of the symptom experience longitudinally, those studies that have examined symptoms overtime suggest that the patient's experience of them does have a significant impact on their ability to function in their normal social and work roles for a prolonged period of time following day surgery. In the studies reviewed when day surgery patients' activity levels were reduced postoperatively, return to usual. activity was delayed and activities of daily living were reported as difficult to manage.</p>},
  author       = {Rosén, Helena and Clabo, Laurie M Lauzon and Mårtensson, Lena},
  issn         = {1470-5664},
  keyword      = {Day surgery recovery,Experience,Home and activities of daily living,Postoperative,Symptoms},
  language     = {eng},
  number       = {1},
  pages        = {7--18},
  publisher    = {National Association of Theatre Nurses},
  series       = {Journal of Advanced Perioperative Care},
  title        = {Symptoms following day surgery : A review of the literature},
  volume       = {4},
  year         = {2009},
}