Nursing care for abdominal hysterectomy patients: case studies.

Abstract

     Manchakhiri Hospital treats gynecological patients who need hysterectomy with abdominal surgery. First started in 2021, problems encountered in caring for patients undergoing hysterectomy is to educate Instructions for practice before surgery and after surgery As a result, the patient is afraid. performance
anxiety fear of complications which the agency does not have modern nursing practice guidelines There is no specific instruction manual for gynecological hysterectomy clients. The objective of this study is to study Nursing activities in 2 abdominal hysterectomy patients who underwent open abdominal surgery The study was conducted from out-patient medical records, in-patient records, and operating room records. interviews with patients and relatives.

     The results showed that: 1) Preoperative period Both patients were anxious. Because it was the first surgery and it was performed at the district hospital. resulting in increased anxiety 2) Perioperative The two patients were at the same risk: 1) hypothermia; 2) infection; 3) heavy blood loss. 3) Postoperative period, it was found that both patients had similar problems: 1) Discomfort due to wound pain, 2) The patients had anxiety about behavior when returning home, 3) The patients did not Dare to move because of fear of pain and scarring from this study The results of the study can be used as information to determine guidelines for caring for patients undergoing abdominal hysterectomy so that the patients receive quality nursing care. Reduce anxiety and be able to act correctly before and after surgery to reduce complications that may occur.