ABSTRACT:
Background: Until the industrial revolution, surgeons were incapable of overcoming the three principal obstacles which had plagued the medical profession from its infancy — bleeding, pain and infection. Advances in these fields have transformed surgery from a risky "art" into a scientific discipline capable of treating many diseases and conditions. Objectives: To assess the level of knowledge regarding preoperative preparation measures among patients undergoing general abdominal surgery before and after intervention. To evaluate the effect of preoperative instructions on post operative outcome measures among patients undergoing abdominal surgeries. To find out the association between the level of knowledge and selected socio personal variables of patients undergoing abdominal surgeries. Methods: A quantitative, quasi-experimental pre-test post-test control group design was adopted. Sixty patients undergoing abdominal surgeries were selected using non-probability convenience sampling and divided into experimental (n=30) and control (n=30) groups. Tools included a socio-personal data sheet, a 30-item knowledge questionnaire, and a postoperative outcome checklist. Preoperative instructions were given to the experimental group via lectures and demonstrations. Data were collected over seven days, with postoperative outcomes assessed over five days. Validity and reliability were ensured by expert review and the split-half method. Data were analyzed using descriptive and inferential statistics. Results: Post-test knowledge scores improved significantly in the experimental group (mean increased from 16.6 to 24.8; t = 13.66, p < 0.05). Patients receiving preoperative instructions showed better postoperative outcomes in vital signs, wound healing, pain management, and ambulation compared to the control group. Conclusion: Preoperative instructions significantly improved knowledge and enhanced postoperative recovery outcomes. Structured patient education before surgery is essential in promoting optimal recovery.
Cite this article:
Jesmy Sam. Effect of Preoperative Instructions on Post Operative Outcome Measures among Patients Undergoing Abdominal Surgeries in a Tertiary Care Hospital at Ernakulum District. A and V Pub Journal of Nursing and Medical Research. 2025;4(4):121-4. doi: 10.52711/jnmr.2025.27
Cite(Electronic):
Jesmy Sam. Effect of Preoperative Instructions on Post Operative Outcome Measures among Patients Undergoing Abdominal Surgeries in a Tertiary Care Hospital at Ernakulum District. A and V Pub Journal of Nursing and Medical Research. 2025;4(4):121-4. doi: 10.52711/jnmr.2025.27 Available on: https://jnmronline.com/AbstractView.aspx?PID=2025-4-4-3
REFERENCES
1. Polit FD, Hungler. Nursing Research: Principles and Methods. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 1999.
2. The Concise Oxford Dictionary (10th ed.). New Delhi: Oxford University Press; 1999.
3. Polit FD, Beck TC. Essentials of Nursing Research – Methods, Appraisal and Utilization. 6th ed. Philadelphia: Lippincott Williams and Wilkins; 2006.
4. Sharma KS. Nursing Research and Statistics. Haryana: Elsevier; 2011.
5. Basavanthappa BT. Nursing Research. 2nd ed. New Delhi: Jaypee Publishers; 2007.
6. Black MJ, Hawks HJ. Medical Surgical Nursing. 5th ed. Missouri: Mosby Elsevier; 2009.
7. Haggard LM. Patient Education: A Practical Approach. C.V. Mosby Company; 1989.
8. Pare A. Quoted in Ellis H. A History of Surgery. Greenwich Medical Media.
9. Billroth T. Referenced in Rutkow IM. Surgery: An Illustrated History. Elsevier Science; 2004.
10. Sushruta. Sushruta Samhita. Referenced in: Dwivedi G, Dwivedi S. Indian J Chest Dis Allied Sci. 2007; 49: 243–244.