Laparoscopic Abdominal Surgeries
Conditions
Keywords
discharge education, IDEAL discharge, teach-back, nurse-led
Brief summary
Background: Patients after laparoscopic abdominal surgery are frequently seen with complications such as pain and infection after discharge, which affects the readmission rate of patients to hospital. It is predicted that these complications will be reduced with IDEAL (Include, Discuss, Educate, Assess, and Listen) discharge education given during discharge and patient satisfaction will increase. Objectives: The aim of this quasi-experimental study was to investigate the effect of discharge education prepared in accordance with IDEAL discharge planning recommendations on discharge satisfaction levels and readmission rates in laparoscopy abdominal surgery patients. Methods: Patients were recruited from an internationally accredited hospital in Kocaeli, Turkey between February and August 2024. This study was conducted on 62 patients (31 in each intervention and control group). Participants in the intervention group received the nurse-led IDEAL Discharge Education Program (IDEP) and the control group received a standard 15-minute face-to-face discharge education the day of discharge day. The IDEP is a nurse-led, structured discharge education program in accordance with IDEAL Discharge Planning that uses the teach-back method. IDEP is an individualized discharge educational program for surgical patients that utilizes the teach-back method and a printed booklet. Data on discharge education satisfaction was measured at day of discharge (T1), and rehospitalization and readmission was assessed at 1-month after discharge (T2). Outcomes were analyzed with Independent Samples t Test and Chi Square.
Interventions
OTHERIDEAL Discharge Education Program
Participants in the intervention group received the nurse-led IDEAL Discharge Education Program (IDEP) and the control group received a standard 15-minute face-to-face discharge education the day of discharge day. The IDEP is a nurse-led, structured discharge education program in accordance with IDEAL Discharge Planning that uses the teach-back method. IDEP is an individualized discharge educational program for surgical patients that utilizes the teach-back method and a printed booklet.
OTHERcontrol group
This group receives routine hospital discharge instructions for 15 minutes on the day of discharge.
Sponsors
Kutahya Health Sciences University
Anadolu Medical Center
Kocaeli University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Undergone laparoscopic abdominal surgery * Be hospitalized for at least 24 hours * Speak and understand Turkish * Be 18 years of age or older
Exclusion criteria
* Have undergone revision surgery * Patients with communication difficulties due to any medical condition * Patients who refused to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Discharge Education Satisfaction Scale for Surgical Patients | Day 1 | Satisfaction with the discharge education program was assessed using the Discharge Education Satisfaction Scale for Surgical Patients. The scale's scores range from a minimum of 21 to a maximum of 105, with higher scores reflecting greater satisfaction. |
| Readmission rate | 1st month | Readmission rate |
| Rehospitalization rate | 1st month | Rehospitalization rate |
Countries
Turkey (Türkiye)
Outcome results
None listed