Effect of Pulmonary Care Measures on Reducing Respiratory Tract Infection and Dispend Grades among Postoperative Elderly Patients with Abdominal Surgeries
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 4
Abstract
Background: Postoperative respiratory tract infection (RTIs) are more common among elderly patients with laparotomy and present a significant burden to health care systems by increasing health care costs, resource utilization, hospital length of stay, morbidity, and mortality. Aim of the study: To evaluate the effect of pulmonary care measures on reducing RTIs and dyspnea grades among postoperative elderly patients with abdominal surgeries. Research design: Quasi-experimental research design was utilized in the current study. Subjects: Convenient sample including 80 elderly patients male and female, they were classified equally into two equal groups, study group (n= 40), and control group (n= 40) , were collected through one year. Setting: This study was carried out at the general surgery departments (A and C) at Minia University Hospital. Tools of data collection: three tools were utilized in collecting data; tool I: Patient interview structured questionnaire; tool II: Patient's physical and respiratory assessment; tool III: Medical research council dyspnea scale to collect data. Results: current study findings revealed that 87.5 % of the study group was free from postoperative RTIs. In contrast to, 85% of the control group had postoperative RTIs. Conclusion: The study findings concluded that, combined pulmonary care measures of percussion & vibration, deep breathing &coughing exercises, and incentive spirometery had a positive effect on reducing postoperative RTIs& dyspnea grades, improving respiratory parameters and decreased length of hospital stay among elderly with laparotomy. Recommendations: Hospitals should recommend implementing protocols and guidelines based on evidence nursing practice for pre and postoperative care as a routine hospital policy for all surgical patients in all age groups.
Authors and Affiliations
Aml Sabra Abu Bakr, Hoda Diab Fahmy Ibrahim, Tohamy Abdallah Tohamy, Inshrah Roshdy Mohammed, Jehan Abd El-Rahem Mohamed
Keywords
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- DOI 10.9790/1959-0704048797.
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