Patients’ Postoperative Recovery Experiences After Abdominal Surgery: A Study In The Ho Municipality

Abstract

Postoperative recovery is an integral part of the surgical experience. In Ghana, there is inadequate evidence about postoperative recovery experiences after abdominal surgery. This study explored these experiences using the conceptual framework of operationalisation of postoperative recovery developed by Allvin and others in 2009. An exploratory descriptive qualitative approach was used. Eligible participants aged 18 to 63 years were recruited from Volta Regional Hospital, Ho. There was face-to-face interview with 15 participants. Interviews were audio-recorded, transcribed and analysed using framework data analysis method. Findings suggested participants recovering from abdominal surgery experienced physical symptoms including pain, nausea and vomiting, fatigue, appetite changes, and altered sleep pattern. Physical functions impaired included gastrointestinal, cardiovascular, bladder and urethral functions. Additionally, there was impaired mobilisation, muscle weakness, alteration in sexual activity and impaired skin integrity. Symptoms and presence of functional deficits affected their psychological and social well-being. Participants also experienced anxiety, depression, and difficulty in concentration, reduced social activity, and dependence. Participants received support from their spouses, family, friends, and religious affiliations. Self-motivation, cautiousness, and self-medications facilitated postoperative recovery experiences. Nurses and doctors donated blood to and provided financial support to some participants. Health education on medications and diagnosis was however inadequate. The postoperative recovery period was associated with unpleasant experiences therefore; support and professionalism are essential considerations. Health professionals also require adequate training and resources that will facilitate safe and comfortable recovery after abdominal surgery. Furthermore, government needs to revise the National Health Insurance Scheme policy to fully cover the entire cost of financing abdominal surgeries.