Postdischarge nausea and vomiting: management strategies and outcomes over 7 days.

Autor: Odom-Forren J, Hooper V, Moser DK, Hall LA, Lennie TA, Holtman J, Thomas M, Centimole Z, Rush C, Apfel CC
Jazyk: angličtina
Zdroj: Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [J Perianesth Nurs] 2014 Aug; Vol. 29 (4), pp. 275-84.
DOI: 10.1016/j.jopan.2013.12.007
Abstrakt: Purpose: The purpose of this study is to determine patient management strategies and outcomes for self-care of postdischarge nausea and vomiting (PDNV).
Design: Prospective, comparative, descriptive, and longitudinal study.
Methods: The sample consisted of 248 patients aged 18 years or older undergoing a procedure requiring general anesthesia. Patients recorded incidence and severity of nausea and vomiting, the impact of symptoms, and actions taken to alleviate symptoms for 7 days postdischarge.
Findings: The prevalence of PDNV was 56.9%. The methods used to relieve symptoms included antiemetic use by a minority and nonpharmacologic techniques of self-management by some. The effect of nausea on QOL, patient functioning, and patient satisfaction was significantly worse for those who experienced postdischarge nausea on all days.
Conclusion: Patients with PDNV use minor self-care strategies to manage symptoms. The presence of PDNV affects overall quality of life, patient functioning, and patient satisfaction.
(Copyright © 2014 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE