Effects of Educative Supportive Nursing Program via Line Application on Abilities to Perform Activities of Daily Living and the Recovery after Abdominal Surgery among Surgical Patients

Main Article Content

ปานพิกุล สกุลคู
อรรถวิทย์ จันทร์ศิริ
https://orcid.org/0009-0003-9021-8838
ศุภนารี เกษมมาลา

Abstract

This quasi-experimental study aimed to determine the effects of the Educative Supportive Nursing Program via LINE Application on abilities to perform activities of daily living and the recovery after abdominal surgery among surgical patients. The samples comprised 40 post abdominal surgery patients, assigned into an experimental and control groups, with 20 persons per group. The experimental group received the 3-week Educative Supportive Nursing Program via LINE Application, developed by the researchers based on Orem’s Self-care Deficit Nursing Theory, whereas the control group received standard nursing care. The instruments comprised a demographic data record form, the Barthel Activities of Daily Living Index, and the CARE (Convalescence and Recovery Evaluation). Data were analyzed using descriptive statistics, dependent t-test, and independent t-test.


The findings revealed that after the intervention, the mean score for activities of daily living and postoperative recovery both the experimental and control groups were significantly higher than those of the before (t = -36.88, p < .001, t = -9.19, p < .001; and t = -8.54, p < .001, t = -4.52, p < .05, respectively). Additionally, after the intervention, the mean score for activities of daily living and postoperative recovery in the experimental group were significantly higher than those in the control group (t = 19.87, p < .001 and t = 8.67, p < .001, respectively). These research findings support the use of the Educative Supportive Nursing Program via LINE application to enhance patients’ abilities in activities of daily living and postoperative recovery among abdominal surgery patients.

Keywords:
Educative Supportive Nursing System Program, LINE application, activities of daily living, recovery after abdominal surgery, surgical patients

Article Details

How to Cite
สกุลคูป., จันทร์ศิริอ., & เกษมมาลาศ. (2024). Effects of Educative Supportive Nursing Program via Line Application on Abilities to Perform Activities of Daily Living and the Recovery after Abdominal Surgery among Surgical Patients. APHEIT Journal of Nursing and Health, 6(2), e3419. Retrieved from https://rsujournals.rsu.ac.th/index.php/ajnh/article/view/3419
Section
Research Articles

References

กระทรวงสาธารณสุข. (2566). รายงานจำแนกตาม Major Diagnosis Categories. CMI@MoPH. สืบค้น 13 ตุลาคม 2566, จาก https://cmi.moph.go.th/report/spcl/index?menu_id=17

ชวลี แย้มวงษ์. (2538). ผลของการประยุกต์ใช้ระบบการพยาบาลตามทฤษฎีของโอเร็มต่อความพึงพอใจของผู้ป่วย และญาติต่อการพยาบาลที่ได้รับและความสามารถในการกระทำกิจวัตรประจำวันของผู้ป่วยสูงอายุที่เข้ารับการรักษาในโรงพยาบาล. วิทยานิพนธ์พยาบาลศาสตรมหาบัณฑิต สาขาการพยาบาลผู้ใหญ่ , บัณฑิตวิทยาลัย มหาวิทยาลัยมหิดล.

ปวงกลม กฤษณบุตร, อรพรรณ โตสิงห์, สุพร ดนัยดุษฎีกุล, และเชิดศักดิ์ ไอรมณีรัตน์. (2555). ปัจจัยที่มีความสัมพันธ์กับการฟื้นตัวหลังผ่าตัดของผู้ป่วยที่ได้รับการผ่าตัดช่องท้องในระยะ 1 สัปดาห์แรก. วารสารสภาการพยาบาล, 27(1), 39 – 48.

สโรชา สุภาธาดา, สุภารัตน์ วังศรีคูณ, และอัจฉรา สุคนธสรรพ์. (2565). ผลของโปรแกรมการดูแลผู้ป่วยผ่าตัดแบบเปิดทางหน้าท้องต่อการฟื้นตัวหลังผ่าตัด. พยาบาลสาร, 49(4), 179-192.

อรวรรณ หลงเวช, ผ่องศรี ศรีมรกต, สุพร ดนัยดุษฎีกุล, และเชิดศักดิ์ ไอรมณีรัตน์. (2563). ผลของโปรแกรมการฟื้นฟูสภาพโดยเร็วต่อความสามารถในการปฏิบัติกิจวัตรประจำวันของผู้ป่วยหลังผ่าตัดระบบทางเดินอาหารแบบเปิดช่องท้อง. วารสารสภาการพยาบาล, 35(2), 32-51.

American Society of Anesthesiologists. (2014). Statement on ASA Physical Status Classification System. Retrieved October 13, 2023, from https://www.asahq.org/standards-and-practice-parameters/statement-on-asa-physical-status-classification-system

Berkel, A. E. M., Bongers, B. C., Kotte, H., Weltevreden, P., De Jongh, F. H. C., Eijsvogel, M. M. M., ... Klaase, J. M. (2022). Effects of community-based exercise prehabilitation for patients scheduled for colorectal surgery with high risk for postoperative complications: Results of a randomized clinical trial. Annals of Surgery, 275(2), e299–e306. https://doi.org/10.1097/SLA.0000000000004702

Bhattacharyya, A., Ramamoorthy, L., & Pottakkat, B. (2021). Effect of pre-operative nutritional protocol implementation on postoperative outcomes following gastrointestinal surgeries: A randomized clinical trial. Journal of Caring Sciences, 10(4), 177–183. https://doi.org/10.34172/jcs.2021.030.

Bongers, B. C., Dejong, C. H. C., & Den Dulk, M. (2021). Enhanced recovery after surgery programmes in older patients undergoing hepatopancreatobiliary surgery: What benefits might prehabilitation have?. European Journal of Surgical Oncology, 47(3 Pt A), 551–559. doi: 10.1016/j.ejso.2020.03.211.

Dajenah, M., Ahmed, F., Thabet, A., Ghaleb, K., & Nikbakht, H.-A. (2022). Early post
operative complications of gastro intestinal surgery and its associated factors in Yemeni patients treated in a teaching hospital: A retrospective monocentric study. Cureus, 14(5), e25215. doi:10.7759/cureus.25215

den Bakker, C. M., Schaafsma, F. G., Consten, E. C. J., Schraffordt Koops, S. E., van der Meij, E., van de Ven, P. M., … Anema, J. R. (2023). Personalised electronic health programme for recovery after major abdominal surgery: a multicentre, single-blind, randomised, placebo-controlled trial. The Lancet Digital health, 5(8), e485–e494. doi: 10.1016/S2589-7500(23)00084-5

Gray, J. R., Grove, S. K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence. (8th ed.). St. Louis, MO: Elsevier.

Gunawan, J., Marzilli, C., & Aungsuroch, Y. (2021). Establishing appropriate sample size for developing and validating a questionnaire in nursing research. Belitung Nursing Journal, 7(5), 356–360.

Heger, P., Probst, P., Wiskemann, J., Steindorf, K., Diener, M. K., & Mihaljevic, A. L. (2020). A systematic review and meta-analysis of physical exercise prehabilitation in major abdominal Surgery. Journal of Gastrointestinal Surgery, 24(6), 1375–1385.

Koesanthia, S., Wongkongkam, K., Danaidutsadeekul, S., & Thawitsri, T. (2022). Impact of early mobility programme on open abdominal surgery patients’ post-operative bowel function recovery during the first 72 hours. Journal of Thailand Nursing and Midwifery Council, 37(2). 61-80. (in Thai)

Li, J., Zhang, Y., Hu, D.-M., Gong, T.-P., Xu, R., & Gao, J. (2020). Impact of postoperative complications on long-term outcomes of patients following surgery for gastric cancer: A systematic review and meta-analysis of 64 follow-up studies. Asian Journal of Surgery, 43(7), 719–729.

Mahmoudi, H., Jafari, R., Saffari, M., Koenig, H. G., Ameryoun, A., & Lin, C. Y. (2023). Factors affecting self-care in cardiovascular patients: An integrative review based on Orem’s Theory. Hospital Practices and Research, 8(1), 189-198.

Milne-Ives, M., Lam, C., De Cock, C., Van Velthoven, M. H., & Meinert, E. (2020). Mobile apps for health behavior change in physical activity, diet, drug and alcohol use, and mental health: systematic review. JMIR mHealth and uHealth, 8(3), e17046.

Nasir, M., & Ahmed, A. (2020). Knowledge about postoperative pain and its management in surgical patients. Cureus, 12(1), e6685. doi: 10.7759/cureus.6685

Nusca, S. M., Parisi, A., Mercantini, P., Gasparrini, M., Pitasi, F. A., Lacopo, A., … Vulpiani, M. C. (2021). Evaluation of a post-operative rehabilitation program in patients undergoing laparoscopic colorectal cancer surgery: A pilot study. International journal of Environmental Research and Public Health, 18(11), 5632.

Orem, D. E., Taylor, S. G., & Renpenning, K.M. (2001). Nursing: Concepts of Practice. St. Louis: Mosby.

Rajabiyazdi, F., Alam, R., Pal, A., Montanez, J., Law, S., Pecorelli, N., … Fiore Jr, J. F. (2021). Understanding the meaning of recovery to patients undergoing abdominal surgery. JAMA Surgery, 156(8), 758–765.

Strozyk, S., Wernecke, K. D., Sehouli, J., & David, M. (2020). Factors influencing postoperative recovery and time off work of patients with benign indications for surgery - results of a prospective study. Geburtshilfe und Frauenheilkunde, 80(7), 723–732. doi: 10.1055/a-1157-8996

Zhang, L., & Pan, W. (2021). Effect of a nursing intervention strategy oriented by Orem's self-care theory on the recovery of gastrointestinal function in patients after colon cancer surgery. American Journal of Translational Research, 13(7), 8010–8020.