Prevalence of Nausea-Vomiting and Coping Strategies in Patients Undergoing Outpatient Surgery


MARAŞ G., BULUT H.

JOURNAL OF PERIANESTHESIA NURSING, vol.36, no.5, pp.487-491, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 5
  • Publication Date: 2021
  • Doi Number: 10.1016/j.jopan.2020.10.004
  • Title of Journal : JOURNAL OF PERIANESTHESIA NURSING
  • Page Numbers: pp.487-491
  • Keywords: outpatient surgery, nausea-vomiting, discharge, coping strategies, SIMPLIFIED RISK SCORE, POSTOPERATIVE NAUSEA, POSTDISCHARGE NAUSEA, AMBULATORY SURGERY, ANTIEMETICS, PROPHYLAXIS, MANAGEMENT, ANESTHESIA, UPDATE

Abstract

Purpose: The present study aimed to determine the prevalence and coping strategies for postoperative nausea and vomiting (PONV) and postdischarge nausea and vomiting (PDNV) in patients undergoing outpatient surgery. Design: A descriptive research design was used. Methods: This descriptive study was carried out with 350 patients who were admitted within the scope of outpatient surgery of the ear, nose, and throat; orthopaedics, urology, and general surgery departments of a university hospital between July 3, 2017 and March 6, 2018. A patient diagnosis form consisting of 34 items developed by the researcher and nausea-vomiting diary were used to collect data. Findings: The results showed that 30.6% of the patients had PONV and 26.3% had PDNV. Of the 92 patients with postdischarge nausea, 26.1% experienced mild, 44.6% moderate, 20.7% high, and 8.7% severe nausea. Among the strategies for coping with PDNV, the patients preferred resting (49%), going outdoors (23.4%), eating something (17%), and drinking something (10.6%). A statistically significant difference was found between postdischarge nausea and risk factors for nausea-vomiting, such as female gender, history of nausea-vomiting, nausea in the postanesthesia care unit, and opioid use in the postanesthesia care unit (P < .05). Conclusions: This study shows that approximately a quarter of patients who undergo outpatient surgery will experience nausea and vomiting immediately after surgery as well as at home after discharge. Assessment of risk factors for PONV/PDNV was discovered to be an important factor in the care of perioperative patients. Therefore, the risk scoring system is expected to contribute to reducing PONV/PDNV incidence and improving patient coping strategies and satisfaction. (c) 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.