The Effect of Discharge Training on Surgical Recovery in Oncology Patients
Condition: Surgery--Complications; Nursing Caries
Study type: Interventional

Summary: 
      A randomized control trial was made to examine the effect of discharge training developed
      using Nursing Interventions Classification on surgical recovery in patient who underwent
      oncological surgery.
    

Detailed description: 
      The concept of surgical recovery is defined as "starting activities aimed at maintaining
      daily life, health and well-being after surgery" and delay in surgical recovery "increasing
      the number of days after surgery required to start activities aimed at maintaining daily
      life, health and well-being after surgery". Problems such as fatigue, pain, incisional
      surgical site infection, loss of appetite, which are common in patients in the postoperative
      period, are symptoms associated with delayed surgical recovery. In addition to these
      symptoms, the presence of conditions such as delayed return to home / work activities need
      for self-care, nausea, anorexia, pain, and difficulty in moving indicate that surgical
      recovery is interrupted. It has been reported that delay in surgical recovery is common after
      surgeries such as gastrostomy, colectomy, and exploratory laparotomy.

      Patients who have undergone gastric or colorectal cancer surgery should receive discharge
      training before returning to social life and business life. Nurses should determine the
      problems they may experience at home in patients who have undergone surgeries such as
      gastrostomy, colectomy, and exploratory laparotomy, where delay in surgical recovery is
      frequently reported, plan and apply discharge training for these problems, and monitor
      patients in terms of surgical recovery processes at home. It has been reported that this way,
      the surgical recovery process can be supported and delays in surgical recovery can be
      prevented.

      This study was conducted to determine the effect of a discharge training developed using the
      Nursing Interventions Classification on surgical recovery in patients undergoing oncologic
      surgery.

      It was tested the hypotheses that there was no difference between the post-intervention
      intervention and control groups in terms of the surgical recovery score averages in patients
      who had undergone oncologic surgery were tested.
    

Intervention name(s): Intervention group
Intervention type(s): Behavioral
Intervention description(s): In addition to the routine care they received, the patients in the intervention groups were given discharge training developed in the pre-discharge period. Discharge training consisted of a verbal and written information booklet containing instructions for the patient and the patient's caregiver on pain management, nutrition management, incision site care, strengthening self-care, returning to daily life activities, and colostomy care. Discharge training was given in the service after evaluating the surgical recovery status of the patient before discharge. The average duration of each training was 30-45 minutes. The patients were evaluated in terms of surgical recovery by calling by phone 2 weeks after discharge, 4 weeks and 8 weeks later. The developed education booklet was given to the patient and it was ensured that he could benefit from the information at home.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Following recruitment, patient who underwent oncological surgery were divided into a study and a control group by randomization (1:1 randomization)
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Surgical recovery; Discharge Training; Follow-up; Nursing