Assess the effectiveness of preoperative education on postoperative outcome among the patients undergoing major Gynecological surgery admitted at Pravara Rural Hospital, Loni (Bk)

As per WHO data base in 2016, an estimated 15, 40000 women underwent hysterectomy in the world, Hysterectomy is most commonly performed on women between 40 to 45 years of age and by age 65 approximately 37% to 39% of women have under gone this procedure. The aim of the study was to generate baseline data for indications of gynecological surgeries, and to assess route of surgery and histopathology correlation in women undergoing major gynecological surgery in a rural tertiary level teaching hospital in India. The present study was conducted to determine the effectiveness of preoperative education on postoperative outcome undergoing major gynaecological surgery.

A Quasi experimental study, posttest design only with control group approach was undertaken in Pravara Rural Hospital Loni. The Data were collected from 60 (30 in experimental group and in control group) gynecological surgery who are selected by non-probability method purposive sampling technique met the inclusion criteria. The nurse investigator provided 5-10 minutes range of motion exercise daily, nutrition diet and psychological support. Assessment of effectiveness was performed by evaluating the level of stress (DASS Rating scale) and (observational checklist). The data was analyzed with descriptive statistics frequency and percentage of demographic variables and inferential statistics SD and Mean.

It was found that range of motion exercise significantly reduced the level of stress, depression and anxiety. A statistical difference was found between the group awareness (t= 0.05), anxiety (t=1.10), depression (t=0.03) and emotional distress (t=0.02) at p<0.05 level. There was significant association found between stress with socio demographic variables like age (X² 0.6), education qualification (X² 0.43), presence of co-morbid illness (X² 3.33), indication of gynecological surgery (X² 0.00), duration of illness (X² 0.04), previous history of surgery (X² 3.58) at p< 0.05 level.

The study outcome revealed that range of motion exercise was found to be effectiveness in reducing the level of stress undergoing major gynecological surgery. Hence it should be emphasized that relaxation therapy should be practiced for vulnerable undergoing major gynaecological surgery.