Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Duration of Prophylactic Antibiotics Therapy on Uncertainty of Recovery in Elective Laparoscopic Uterine Myomectomy Patients

선택적 복강경하 자궁근종절제술 환자의 예방적 항생제 투여기간이 회복에 대한 불확실성에 미치는 영향

  • Received : 2018.06.21
  • Accepted : 2018.11.07
  • Published : 2018.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The study was done to explore whether the duration of perioperative prophylactic antibiotics therapy influenced uncertainty of recovery in patients with elective laparoscopic uterine myomectomy. Methods: A prospective study was conducted using self-report questionnaires and electrical medical records for patients with uterine myomectomy. According to the length of the perioperative prophylactic antibiotics therapy, the patients were divided into three groups: single-dose antibiotic treatment group, short-term antibiotic treatment group, and long-term antibiotic treatment group. Data were collected from December 20, 2016 to July 31, 2017 from 161 patients who underwent laparoscopic myomectomy at a metropolitan city general hospital. Results: Level of uncertainty of recovery was $2.98{\pm}0.22$. The uncertainty was highest in the long-term antibiotic treatment group, followed by the short-term antibiotic treatment group and the single-dose antibiotic treatment group (F=89.40, p<.001). In the regression analysis, factors influencing uncertainty of recovery among uterine myomectomy patients were duration of perioperative prophylactic antibiotic therapy (${\beta}=.70$, p<.001) and duration of NPO (${\beta}=-.11$, p=.047) which explained 51.5% of the variance (F=83.75, p<.001). Conclusion: Based on these results, information including the administration of antibiotics before surgery should be provided to the patients to help reduce the uncertainty of postoperative recovery.

Keywords

References

  1. National Health Insurance Service. 2015 January 26 National Health Insurance Service Press releases [internet]. Seoul: National Health Insurance Service; 2015 [cited 2018 August 10]. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/13321
  2. National Health Insurance Service. Annual statistical yearbook of major surgeries in 2016. [internet]. Seoul: National Health Insurance Service; 2016 [cited 2018 August 10]. Available from: http://www.nhis.or.kr/menu/boardRetriveMenuSet.xx?menuId=F3326
  3. Kim KM, Kim SJ, Park JH, Son JA, Yu SY, Lee MH, et al. Infection control. Seoul: Jungdam Media; 2016. p. 161-163.
  4. Kim BN. Overview of antibiotic use in Korea. Infection & Chemotherapy. 2012;44(4):250-262. https://doi.org/10.3947/ic.2012.44.4.250
  5. Hsu C, Cheng S. Practice guideline adherence and health care outcomes - use of prophylactic antibiotics during surgery in Taiwan. Journal of Evaluation in Clinical Practice. 2009;15(6): 1091-1096. https://doi.org/10.1111/j.1365-2753.2009.01182.x
  6. Bratzler DW, Dellinger EP, Olsen KM, Perl TM, Auwaerter PG, Bolon MK, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. American Journal of Health-System Pharmacy. 2013;70(3):195-283. https://doi.org/10.2146/ajhp120568
  7. Jo JH, Lee SH, Ahn BK, Baek SU. Efficacy of 24 hour-administration of antibiotic prophylaxis after elective colorectal surgery. Journal of the Korean Surgical Society. 2008;74(2):129-133.
  8. Wasey N, Baughan J, de Gara CJ. Prophylaxis in elective colorectal surgery: the cost of ignoring the evidence. Canadian Journal of Surgery. 2003;46(4):279-284.
  9. Jung SI, Park KH, Kwon KT, Ko KS, Oh WS, Chung DR, et al. Relationship between beta-lactam antimicrobial use and antimicrobial resistance in Klebsiella pneumoniae clinical Isolates at 5 tertiary hospitals in Korea. Infection and Chemotherapy. 2007;39:189-95.
  10. Smith JP, Samra NS, Ballard DH, Moss JB, Griffen FD. Prophylactic antibiotics for elective laparoscopic cholecystectomy. The American Surgeon; Atlanta. 2018;84(4):576-580.
  11. Min KS, Kim HS, Lee MA, Kim YI, Seo YS, Lee KH, et al. Prophylactic antibiotics in elective cesarean section. Korean Journal of Obstetrics & Gynecology. 2002;45(9):1511-1515.
  12. Jung MY, Park KY. Comparing the postoperative complications, hospitalization days and treatment expenses depending on the administration of postoperative prophylactic antibiotics to hysterectomy. Korean Journal of Women Health Nursing. 2017;23(1):42-51. https://doi.org/10.4069/kjwhn.2017.23.1.42
  13. Sakong PY, Lee JS, Lee EJ, Ko KP, Kim CH, Kim Y, et al. Association between the pattern of prophylactic antibiotic use and surgical site infection rate for major surgeries in Korea. Journal of Preventive Medicine and Public Health. 2009;42(1):12-20. https://doi.org/10.3961/jpmph.2009.42.1.1
  14. Mishel MH. The measurement of uncertainty in illness. Nursing Research. 1981;30(5):258-263.
  15. Cha KS, Kim KH. Impact of uncertainty on resilience in cancer patients. Asian Oncology Nursing. 2012;12(2):139-146. https://doi.org/10.5388/aon.2012.12.2.139
  16. Gustafson A. Reducing patient uncertainty. Clinical Journal of Oncology Nursing. 2018;21(1):113-115. https://doi.org/10.1188/17.CJON.113-115
  17. Lee MS. Kang YH. Correlation of uncertainty, coping, and health-promoting behavior in patients with gastric cancer following gastrectomy. Journal of Korean Clinical Nursing Research. 2015;21(2):223-233. https://doi.org/10.22650/JKCNR.2015.21.2.223
  18. Mishel MH, Sorenson DS. Uncertainty in gynecological cancer: a test of the mediating functions of mastery and coping. Nursing Research. 1991;40:167-171.
  19. Kim KJ. Development and evaluation of a mobile navigation program for colorectal cancer patients undergoing surgery based on uncertainty in illness theory [dissertation]. Daegu. Kyungpook National University; 2018. p. 1-8.
  20. Health Insurance Review & Assessment Service. Diagnosisrelated group [internet]. Seoul: Author; 2016 [cited 2018 July 20]. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020006000000&cmsurl=/cms/policy/02/01/1341852_27024.html&WT.ac=포괄수가제#none
  21. Nam EY, Kim HB, Bae HO, Moon SY, Na SH, Kim SY, et al. Appropriateness of surgical antibiotic prophylaxis in a tertiary hospital. Korean Journal of Nosocomial Infection Control. 2014;19(2):64-70. https://doi.org/10.14192/kjnic.2014.19.2.64
  22. So HS. Uncertainty coping methods and changes on the depression over the treatment step in cervical cancer patients [dissertation]. Seoul: Yonsei University; 1995. p. 39.
  23. Cho YH, Chun NM. Effect of structured information on immediate preoperative anxiety and uncertainty for women undergoing laparoscopic hysterectomy. Korean Journal of Women Health Nursing. 2015;21(4):321-331. https://doi.org/10.4069/kjwhn.2015.21.4.321
  24. Jang HS, Lee CS, Yang YH. Influence of uncertainty and uncertainty appraisal on self-management in hemodialysis patients. Journal of Korean Academy of Nursing. 2015;45 (2):271-279. https://doi.org/10.4040/jkan.2015.45.2.271
  25. Koo YS. The study of affecting factors for uncertainty in hemodialysis with chronic kidney disease patients [master's thesis]. Seoul: Kyunghee University; 2012. p. 30.
  26. Lee YJ, Ham EM, Kim KS. A correlational study on uncertainty coping and depression of cancer patients. Journal of Korean Academy of Nursing. 2001;31(2):244-256. https://doi.org/10.4040/jkan.2001.31.2.244
  27. Lim JM, Cho OH. The influence of disease activity and uncertainty on anxiety and depression in patients with ankylosing spondylitis. The Journal of Korean Academic Society of Home Care Nursing. 2017;24(1):61-68. https://doi.org/10.22705/jkashcn.2017.24.1.061
  28. Hur YJ. Uncertainty in post operation female brain tumor patients. Woman Health. 2017;18(1):37-52.
  29. Jung JY, Kim MS, Cho YN. Factors influencing of uncertainty on patients with arthroscopic surgery. Journal of the Korea Convergence Society. 2018;9(6):311-319. https://doi.org/10.15207/JKCS.2018.9.6.311
  30. Korean Institute for Healthcare Accreditation. Third period of acute care hospital accreditation [internet]. Seoul: Korean Institute for Healthcare Accreditation; 2018 [cited 2018 September 5]. Available from: http://www.koiha.kr/member/kr/board/establish/establish_BoardView.do