Factors Predicting Postoperative Recuperation in Patients Having Undergone Hepatectomy
Keywords:
perioperative blood loss, nutritional status, comorbidity, state anxiety, recuperation, hepatectomyAbstract
Objective: To study the predictive power of perioperative blood loss, preoperative nutritional status, comorbidity, and state anxiety on hepatectomy patients’ postoperative recuperation
Design: Descriptive predictive study design
Methodology: The subjects were 126 patients having received open abdominal hepatectomy surgery at two tertiary hospitals. The research framework employed was based on Roy’s theory of adaptation. Data were gathered from the patients’ medical records and topical interviews according to the data-gathering instruments, namely, the Modified Nutrition Alert Form, Charlson’s Comorbidity Index, State Anxiety Inventory Y-1, and Quality of Postoperative Recovery-40. The data were analysed using descriptive statistics and multiple regression analysis with enter method, with significance level set at .05.
Results: The subjects’ highest score was in the category of postoperative, pre-discharge recuperation (X = 177.56, SD = 16.301). The subjects had low perioperative blood loss ( X = 635.95, SD = 803.960), moderate preoperative malnutrition (X = 7.41, SD = 3.176), high preoperative comorbidity (X = 4.63, SD = 3.019), and moderate state anxiety (X = 51.34, SD = 7.094). A predictive power analysis showed that perioperative blood loss, preoperative nutritional status, preoperative comorbidity, and state anxiety could jointly predict 11% (R2 = 0.110, F (df1, df2) = 3.724 (4, 121), p = 0.007) postoperative recovery in patients who had undergone hepatectomy. Perioperative blood loss and state anxiety were identified as having significant influence on the prediction of postoperative patients’ recuperation, at (β = -0.247, β = -0.179, p < 0.05), respectively.
Recommendations : Perioperative blood loss and state anxiety could jointly predict hepatectomy patients’ postoperative recovery. Nurses should, therefore, be aware of the importance of assessing perioperative blood loss and focus on preparing a surgical method that effectively minimises perioperative blood loss, maintains postoperative water balance, and regulates postoperative state anxiety, in order to enhance the patients’ postoperative recovery.
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