Main Article Content
Objective: Develop and evaluate the effectiveness of a nursing practice guideline for enhancing recovery after abdominal surgery in elderly patients. Methods: Applied the quality of care model of the National Medical and Health Research Council Australia (2000) and the review of evidence related to enhancing recovery after abdominal surgery to guide this study that consisted of 2 stages: 1) developing the clinical nursing practice guideline (CNPG), and 2) evaluating the guideline. Stage 1: developing the clinical nursing practice guideline revealed that: the newly developed nursing practice guideline has 3 components: 1) pre-operative care; 2) immediate postoperative care - 24 hours after surgery; and 3) postoperative care days 1-7. There were three categories of recovery indicators: 1) clinical outcomes; 2) psychosocial outcome; and 3) the functional ability. The content validity index of the guideline verified by three experts was 0.96. Stage 2: The evaluation was conducted in 14 nurses and 25 male older patients. Results: The findings of this study revealed that: 1) Fifty-seven point one percent of nurses who used the CNPG rated the overall feasibility of the CNPG at a high level (Mode 3) 2) One hundred percent of nurses who used the CNPG rated their satisfied at a high level, 3) Level of recovery after abdominal surgery among elderly patients in three aspects was better than before using the CNPG, and 4)Seventy-six percent of elderly patients after abdominal surgery were satisfied with the care following the CNPG at a high level (M = 2.93, SD = 0.27). Conclusion: This CNPG should be continually applied in similar settings. Future research should be conducted to measure long-term clinical outcomes, such as postoperative complications and cost outcome.
Asssntachai P. Common health problems in the elderly and prevention. 2 nd ed. Bangkok: Union Creation; 2011. Thai.
Department of Medical Services. Annual report 2016. Bangkok: Department of Medical Services; 2016. Thai.
Anesthesiology of Hatyai Hospital. Annual report of statistics of elderly patients undergoing surgery. Songkhla: Hatyai Hospital; 2016-2017. Thai.
Treeprasertsuk S. Gastroenterology diagnosis and current management. Bangkok: Vichaiyut Hospital; 2017. Thai.
Jirapongsathorn P. Laparoscopic cholecystectomy at Prapokklao Hospital. JPMC. 2017; 34(4): 305-18. Thai.
Asssntachai P. Health services for Thai elderly in primary level. PCFM. 2009; 1(1): 37-40. Thai.
Assantachai P. Common health problems in the elderly and prevention. Bangkok: Union Creation; 2012.
Sritan S, Utriyaprasi K, Toskulkao T. Predictive factors in post-operative recovery abdominal surgery patients.
JTNMC. 2014; 29(2): 21-35. Thai.
Mattok K, Moore E, Feliciano D. Truma united stated of America: acid-free paper: America; 2013.
Manusook S, Suwannarurk K, Bhamarapravatana K, et al. Efficacy and complications of gynecologic endoscopic surgery in thammasat university hospital: A 10-year experience. TMJ. 2013; 13(1): 29-35. Thai.
Male Surgery 510 ward of Hat Yai hospital. Surgical statistics in elderly patients report 2017. Songkhla: Hat Yai hospital; 2016-2017. Thai.
Kiattisin P, Kasemkitwattana S, Chayaput P. Postoperative recovery in patient with abdominal surgery: an integrative review. JTNMC. 2010; 25(2): 87-99. Thai.
National Health and Medical Research Council (NHMRC) 2000. A guide to development implementation and evaluation of clinical practice guideline [Internet]. Australia: National Health and Medical Research Council; 2000 [cited 2017 Jul 15]. Available from: http://www.health.qld.gov.au/cpcre/pdf/nhmrc_clinprgde.pdf
Pedziwiatr M, Mavrikis J, Witowski J, et al. Current status of enhanced recovery after surgery (ERAS) protocol
in gastrointestinal surgery. Med Oncol. 2018; 35(6): 1-8. doi: 10.1007/s12032-018-1153-0.
Paduraru M, Ponchietti L, Casas I, et al. Enhanced Recovery after emergency: A systematic review. Bull Emerg Trauma. 2017; 5(2): 70-8.
Ljungqvist O, Scott M, Fearon K. Enhanced recovery after surgery: a review. JAMA Surgery, 2017; 152(3): 292-8. doi: 10.1001/jamasurg.2016.4952.
Sommongkol S, Jareansinsub W, Leetongin M, et al. Nursing care for recovery after urgent abdominal surgery in older persons. Journal of Nursing and Health Care. 2016; 34(3): 12-9. Thai.
Pengkaew S. Effects of foot reflexology on abdominal distention and postoperative recovery in elderly patients with abdominal surgery [dissertation]. [Songkhla]: Prince of Songkla University; 2016. 136 p.
Gaberson KB. The effect of humorous distraction on preop erative anxiety. AORN J. 1991; 54(6): 1258-64. doi:
The Joanna Briggs Institute. Reviewers’ manual 2014 edition [Internet)]. Australia: The Joanna Briggs Institute; 2014 [cited 2017 May 11]. Available from http://joannabriggs.org/assets/docs/sumari/ReviewersManual-2014.pdf
Institute of Medical Research and Technology Assessment. Appraisal of guideline for research and evaluation II. Bangkok: Department of medical services; 2015. Thai.
Chaichuay P. Factor influencing utilization of the research results by the personnel and the students of the academic affairs institutes’ networks of the public health and medical technology. Journal of education: Faculty of Education: Srinakharinwirot University. 2016; 16(1): 136-46. Thai.
Rittithrum W, Chinnoros S. The results of preparatory information on anxiety and pain in abdominal surgery patients. KJN. 2012; 19(2): 75-87. Thai.