It is important that patients who undergo abdominal surgery contribute to their recovery. Williams sought to determine whether information people receive following general abdominal surgery is sufficient for them to be able to care for themselves when they return home. This is an important point, as little is known about how best to promote health during hospitalization and in the transition from hospital to home in the community. The author administered a self-report questionnaire at the point of discharge; a telephone interview was conducted following discharge to determine the adequacy of discharge information. Patients receiving information on pain and wound management, activity, nutrition, and complications generally felt that it was sufficient at the point of discharge and still felt informed up to three weeks following discharge. Up to 50% of patients did not receive information or received inaccurate formation, however. The majority of the patients who were given information about pain and wound management did not express any concerns following discharge. However, many of the patients who did not receive information on pain and wound management expressed concerns that required them to make a non-routine visit to a health care facility after discharge.

WHAT THE STUDY MAY MEAN TO YOU: Williams concluded that the findings emphasize the importance of nurses providing specific and accurate verbal and printed discharge information to all patients who have undergone abdominal surgery. This is important not only because half the patients failed to receive such information, but because patients who received accurate and relevant discharge information are less likely to contract health care agencies following discharge. It would appear as if brief instruction in self-management prior to surgery would further improve whatever directions are given following surgery.

B Williams. Supporting self-care of patients following general abdominal surgery. Journal of Clinical Nursing, 2008;17:584-592.