Aim: To compare different levels of self-rated average nausea intensity with early physical recovery and determine if nausea can reflect recovery in patients undergoing general or orthopaedic surgery.
Background: Nausea has been found to influence postoperative physical recovery. Despite the incidence of nausea in postoperative care, there is a knowledge gap about the possibility of using average nausea intensity to reflect recovery, motivating further investigation.
Design: An observational design with repeated measures.
Methods: General and orthopaedic patients answered a questionnaire (October 2012-January 2015) about nausea and impact on recovery on postoperative days 1 (N = 479) and 2 (N = 441). Questions about average nausea intensity at rest and during activity were answered based on the Numeric Rating Scale (NRS) (0-10). Impact on recovery was evaluated using three dimensions from the postoperative recovery profile tool.
Results: About one-fifth of the patients reported nausea intensity as moderate to severe on days 1 and 2. Nausea intensity was associated with eight of nine aspects of recovery on postoperative day 1. Nausea intensity on day 1 also reflected four of nine aspects of recovery on day 2. About reflecting physical recovery, the association was strongest between nausea intensity and appetite changes.
Conclusions: As postoperative nausea is common, regular assessments by healthcare professionals are needed. Assessment of nausea is of importance since it reflects physical recovery. This also shows the importance of treating nausea without delay. Using the NRS to measure nausea intensity is a simple method that is easy to use in clinic.
目的: 比较不同程度的自我评定的平均恶心强度与早期身体恢复,并确定恶心是否能反映一般或骨科手术患者的恢复情况。 背景: 发现恶心会影响术后的身体恢复。 尽管在术后护理中恶心的发生率很高,但在利用平均恶心强度来反映恢复情况的可能性方面存在知识鸿沟,这促使了进一步的研究。 设计: 重复测量的观测设计。 方法: 普通患者和骨科患者在术后第1天(N = 479)和第2天(N = 441)进行恶心及对康复影响的问卷调查(2012年10月- 2015年1月)。关于休息和活动期间的平均恶心强度的问题是根据数值评分量表(NRS)(0-10)回答的。 使用术后恢复外形工具的三个维度评估对恢复的影响。 结果: 大约1-五分之一的患者报告在第1天和第2天恶心强度为中度至重度。恶心程度与术后第1天恢复的9个方面中的8个相关。第一天的恶心程度也反映了第二天恢复的九个方面中的四个。在反映身体恢复方面,恶心程度和食欲变化之间的联系最强。 结论: 由于术后恶心很常见,需要定期由医护人员进行评估。恶心的评估很重要,因为它反映了身体的恢复。这也说明了及时治疗恶心的重要性。使用数值评分量表测量恶心程度是一种简单易行的方法。.
Keywords: nausea; numeric rating scale; nursing; physical recovery; postoperative care.
© 2018 John Wiley & Sons Ltd.