Outpatient recovery after laparoscopic cholecystectomy. 1994

S V Kleinbeck, and N Hoffart
University of Kansas Medical Center, Kansas City.

Economic incentives and technologic advances have encouraged health care providers to shift an increasing portion of postoperative care out of the hospital. Selected patients undergo complex outpatient surgical procedures and are discharged within 24 hours of surgery. Because this trend is relatively new, published accounts of patients' experiences with at-home recovery are rare. Consequently, the authors conducted a qualitative study of 19 patients who underwent laparoscopic cholecystectomy procedures on an outpatient basis. Using semistructured postoperative telephone interviews, the authors monitored the patients' recovery processes. One theme (ie, toward a usual self) with two patterns (ie, progressive activity, self-management) emerged. The results reveal patients' definitions of recovery, understanding of postoperative instructions, willingness to ask questions, and advice for patients undergoing similar procedures. Nursing implications for discharge instructions and follow-up care also are discussed.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009871 Operating Room Nursing The functions of the professional nurse in the operating room. Nursing, Operating Room
D010353 Patient Education as Topic The teaching or training of patients concerning their own health needs. Education of Patients,Education, Patient,Patient Education
D011182 Postoperative Care The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed) Care, Postoperative,Postoperative Procedures,Procedures, Postoperative,Postoperative Procedure,Procedure, Postoperative
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old

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