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Postoperative recovery after general and regional anesthesia in patients undergoing day surgery: A mixed methods study
Division of Nursing, Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Stockholm, Sweden; Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.ORCID iD: 0000-0001-5403-4183
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-7574-6745
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-4170-6451
Örebro University, School of Health Sciences.ORCID iD: 0000-0003-0534-4593
2019 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 3, p. 517-528Article in journal (Refereed) Published
Abstract [en]

Purpose: To investigate differences and describe experiences of postoperative recovery after day surgery between patients undergoing general anesthesia (GA) versus regional anesthesia (RA).

Design: A mixed methods design.

Methods: Day surgery patients (N = 401) were included. Postoperative recovery was assessed daily for 14 days using the Swedish Web Version of the Quality of Recovery questionnaire included in a mobile application. In addition, qualitative interviews were completed with 20 day surgery patients. Quantitative and qualitative data were first analyzed separately and then merged.

Findings: There were significant differences in Swedish Web Version of the Quality of Recovery between GA and RA on days 1 to 13 (P < .05). These findings could not be confirmed in the qualitative findings, except for psychological issues as well as tiredness and fatigue. Unexpected issues contributed to a greater extent to the theme not feeling well Pain in the surgical wound was overall the biggest problem.

Conclusions: There seems to be a poorer recovery after GA compared with RA. Tiredness or fatigue is present also after minor surgery in RA. Unexpected issues affect recovery negatively, and therefore should be addressed by health care.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 34, no 3, p. 517-528
Keywords [en]
day surgery, fatigue, mixed methods, patient experience, patient-reported outcomes, postoperative
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-68568DOI: 10.1016/j.jopan.2018.08.003ISI: 000469462400009PubMedID: 30470465Scopus ID: 2-s2.0-85057033263OAI: oai:DiVA.org:oru-68568DiVA, id: diva2:1241696
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-4765Swedish Research Council, 2015-02273Available from: 2018-08-24 Created: 2018-08-24 Last updated: 2019-06-18Bibliographically approved

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Jaensson, MariaDahlberg, KarunaHugelius, Karin

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