Nursing Care for Total Hysterectomy with Bilateral Salpingo-Oophorectomy in Myoma Uteri Patients: Two Case Studies
Keywords:
Bilateral salpingo-oophorectomy, Myoma uteri, Case study, HysterectomyAbstract
Total hysterectomy with bilateral salpingo-oophorectomy (TAH with BSO) is a common surgical intervention for managing myoma uteri, particularly among older women. However, this procedure presents unique challenges, especially for patients with comorbidities like hypertension, diabetes mellitus, and anemia. Effective nursing care is crucial to address these challenges and minimize postoperative complications. This study investigates the health issues and nursing care practices of two case studies undergoing TAH with BSO due to myoma uteri, based on analysis of inpatient and outpatient medical records, physical examination records, and surgical operation records.
Both case studies exhibited preoperative anxiety due to inadequate preparation, highlighting the importance of comprehensive preoperative education and support. Postoperatively, both patients experienced common challenges such as incisional pain and lack of knowledge regarding home self-care. However, unique health concerns arose in the second case, characterized by advanced age and medical complexities, resulting in higher blood loss during surgery and an elevated risk of complications such as shock, lung atelectasis, and abdominal distension, necessitating a prolonged hospital stay. These findings underscore the need for tailored nursing care guidelines for patients undergoing TAH with BSO, aimed at reducing avoidable complications and shortening hospitalization durations.
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