Effect of You Can Do program on abdominal distention post transabdominal gynaecological surgery at Yasothon Hospital.

Abstract

This study aims to investigate the effects of You Can Do program on abdominal distension after transabdominal hysterectomy or oophorectomy. Quasi experimental with randomization was used. Study was conducted from November 2018 to January 2019 among 60 the women who had transabdominal hysterectomy or oophorectomy at Yasothon Hospital. The general characteristics including age, bodyweight, height, operative time, and morphine usage were purposive sampling between 30 patients of the control and experimental groups. You Can Do program is a nursing intervention program to promote early ambulation by encouraging patient motivation. consisted of daily screen walking, step for walking, chewing gum and early step diet. Research instruments included general data record, abdominal distension evaluation scale, length of hospital stay record, and user satisfaction evaluation form.

             Result: There was a significant difference of abdominal distension between experimental and control groups (p<0.001). Only 1 patient in the experimental group had lower level of abdominal distension after the program whereas 29 patients had no abdominal distension. On the contrary, all patients in the control group experienced abdominal distension and needed medication from the first to the third days after the surgery resulting in the cost of 4,620 bahts and an average 6.1 days of hospital stay. The experimental group did not use medication for abdominal distension and had an average 4 days of hospital stay. Healthcare providers demonstrated high satisfaction of overall program utilization. The patients were high satisfaction of overall program utilization.