Postoperative recovery after abdominal surgery gastrointestinal surgical conditions perioperative self-care older adult abdominal surgery health literacy enhance recovery
Conditions
Interventions
recieve health literacy program including teaching from researcher and LINE OA which using to enhance health literacy since pre surgery until discharge.,usual care from hospital since pre surgery un
Experimental Procedure/Surgery,No Intervention No treatment
health literacy group,usual care group
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Older adults aged 60 years and above, both male and female. 2.elective exploratory laparotomy involving the gastrointestinal system, including the stomach, liver, pancreas, spleen, small intestine, or colon. 3. Patients with a pre-scheduled surgery date at least one week in advance. 4. General Anesthesia. 5. Proficient in Thai communication and possess clear consciousness with no signs of cognitive impairment (defined as a Mini-Cog score more than 3). 6. No mobility limitations, indicated by an Activity of Daily Living score of 12 or higher. 7.Patients who have a smartphone and are capable of using the LINE application
Exclusion criteria
Exclusion criteria: 1.Patients undergoing laparoscopic surgery 2.Postoperative Complications Patients transferred to the Intensive Care Unit (ICU) who cannot be weaned from mechanical ventilation within 72 hours post-surgery. 3.Patients experiencing persistent postoperative delirium for more than 72 hours, resulting in an inability to follow commands or a loss of clear consciousness (confirmed by a CAM-T assessment indicating Delirium). 4. Patients who develop severe postoperative complications that impede daily activities, such as respiratory failure, acute kidney injury (AKI), massive hemorrhage, or shock. 5.Patients requiring re-operation (re-exploratory laparotomy) or additional surgical interventions to correct complications arising from the initial surgery. 6.Voluntary Withdrawal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| recovery after surgery 1 ,2 week after surgery recovery score/Convalescence and Recovery Evaluation questionaire | — |
Secondary
| Measure | Time frame |
|---|---|
| knowledge pre intervention,post intervention for 1 week Knowledge evaluation questionnaire with True or False responses; score range 0-12 developed by the investigator,Self-care skill pre intervention,post intervention for 1 week Self-care skill evaluation including deep breathing,effective cough and ambulation;checklist with Do/Don't follow procedure by Research Assistant, score range 0-8, developed by the investigator | — |
Countries
Thailand
Contacts
Public ContactTippicha Matip
Faculty of Nursing, Thammasat University
Outcome results
None listed