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Nausea intensity as a reflector of early physical recovery after surgery
Jonkoping Univ, Sweden; Ryhov Cty Hosp, Sweden.
Linnaeus Univ, Sweden; Kalmar Cty Council, Sweden.
Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Clinical Neurophysiology. Jonkoping Univ, Sweden.
Jonkoping Univ, Sweden; Ryhov Cty Hosp, Sweden.
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 5, p. 989-999Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
WILEY , 2019. Vol. 75, no 5, p. 989-999
Keywords [en]
nausea; numeric rating scale; nursing; physical recovery; postoperative care
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-156914DOI: 10.1111/jan.13893ISI: 000465107000008PubMedID: 30375009OAI: oai:DiVA.org:liu-156914DiVA, id: diva2:1318752
Note

Funding Agencies|Futurum [598311]; FORSS, Medical Research Council of Southeast Sweden [376851]; Academy for Health and Care; County Council of Jonkoping, Sweden

Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-05-28

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