Predictive Factors Affecting Postoperative Quality of Recovery for Patients Undergoing Surgery

Abstract

Abstract: The assessment of quality of recovery after surgery and anesthesia is considered an important issue because it provides information that could help to identify problems that may affect postoperative quality of recovery. This study aimed to assess the predictive factors affecting postoperative quality of recovery for patients undergoing surgery through the following: (1) Assessment of patients’ demographic characteristics. (2) Assessment of patient’s medical data. (3) Assessment of patient’s awareness with the recovery process and postoperative problems. (4) Assessment of the postoperative quality of recovery in patients undergoing surgery. (5) Assessment of predictive factors affecting the postoperative quality of recovery in patients undergoing surgery. Cross-sectional descriptive research design was utilized to conduct this study. The study was conducted in the surgery wards at El-Demerdash hospital affiliated to Ain Shams University Hospitals, Egypt. A purposive sample of 100 patients who were admitted to the previously mentioned settings was included in the study. Data collection tools: (1) Demographic data questionnaire. (2) Postoperative patient’s medical data assessment tool. (3) Postoperative patient’s knowledge assessment questionnaire. (4) Quality of Recovery Score Questionnaire (QoR-40). The results showed that 36% of patients had good total quality of recovery, 19% had excellent recovery, 39% had acceptable quality of recovery, while 6% only had poor quality of recovery. There were highly statistically significant differences between total quality of recovery and age, gender, type and duration of surgery and presence of other diseases. Conclusion: It was concluded that there are several factors affecting the postoperative quality of recovery for patients undergoing surgery such as patient’s gender, age, type of surgery, duration of surgery, presence of other diseases, as well as pain control. Recommendations: Conducting comprehensive patients’ assessment pre and postoperative in order to identify any factors that may affect the postoperative quality of recovery of patients.