Effect Of Fast-Track Surgery Pathway Integrated Nursing Intervention On Postoperative Recovery And Quality Of Life Among Cervical Cancer Women

Abstract

Fast track surgery is a multimodal patient care strategy that expedites postoperative recovery by combining several pre, intra and post-operative interventions. Aim: To evaluate the effect of fast-track surgery pathway integrated nursing intervention on postoperative recovery and quality of life among cervical cancer women. Design: A quasi-experimental study design. Setting: Was done in operating room and inpatient Obstetrics and Gynecology Department at Benha University Hospital. Sample: A Convenient sample involved 96 women divided equally into study and control groups. Tools: Three tools were used, a Structured interviewing questionnaire involved four parts, assessment of postoperative recovery (fast track surgery) and Quality of life questionnaire which includes (EORTC questionnaire modules QLQ-C30 and QLQ-CX24). Results: The study group revealed statistically significant improvements in postoperative pain, nourishment, complications, mobilization and satisfaction compared to the control group. Furthermore, all items of the EORTC QLQ-C30 and QLQ-CX24 showed a statistically significant improvement in the study group after the intervention as compared to before intervention (p ≤ 0.001). Conclusion: By integrating nursing interventions into the fast-track surgery pathway, cervical cancer women’s postoperative recovery and quality of life were enhanced. Recommendation: Periodic ongoing health teaching programs about Fast-Track Surgery Pathways should be conducted to all health care providers in all obstetrics and gynecology departments.