Assessment of Postoperative Nurse’s Intervention in Patients with Laparoscopic Cholecystectomy at Teaching Hospitals in Sulaimaniyah, Iraq

Volume 25 , Issue 1 , June 2023 , Pages 48-57

Authors

Heshu Dhahir Hassan 1 ; Kamal Ahmed Saeed 2

1 Shahid Xarib Haladny General Hospital, Directorate of Health, Dukan District, 0046 Sulaimaniyah, Iraq

2 iraqDepartment of Surgery, College of Medicine, University of Sulaimani, 0046 Sulaimaniyah, Iraq

Keywords

Abstract


Background: Laparoscopic cholecystectomy is the standard gold treatment for
gallstones. However, its postoperative complications can be overcome through highquality knowledge and practice of health care providers, especially nurses working at
surgical wards that play major roles in post-operated patient management. Objective:
This descriptive cross-sectional study aimed to assess the postoperative nurses'
intervention for patients with laparoscopic cholecystectomy and to determine the
relationship between nurses' interventions and their sociodemographic characteristics.
Patients and Methods: A total of 65 experienced nurses at surgical wards in
Sulaimaniyah Teaching Hospitals were included from March to August 2022 to
determine nurses' intervention domains in laparoscopic cholecystectomy. For this
purpose, a well-designed questionnaire was used to collect the participant's data,
including sociodemographic data and clinical data. Results: Most participating nurses
(38.5%) were aged 30-39 years, females (66.2%), from the urban region (87.7%),
married (66.2%), completed nursing institute (76.9%), and full-time hospital staff
(66.2%). Also, most (36.9%) had 1-5 years of work experience and did not take part in
training courses (50.8%). In comparison, 41.5% of them participated in the training
courses for <6 months. Furthermore, most of the studied variables for the postoperative
nurses’ intervention items were significantly/highly significantly associated between the
first and second assessments. Moreover, a significant difference between gender,
education, and residency in the overall assessment of postoperative nurses’ intervention
in the first assessment and a significant association only for residency was reported for
the second assessment. Conclusions: Nurses who worked at surgical wards were
professional in relieving pain, improving respiratory status, maintaining skin
integrity/drainage, improving nutritional status, and monitoring/managing potential
complications for patients who underwent laparoscopic cholecystectomy, regardless of
their sociodemographic variables.

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  • Published at20 June 2023

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