Postdischarge nausea and vomiting: Management strategies and Outcomes Over 7 Days

Jan Odom-Forren, Vallire Hooper, Debra K. Moser, Lynne A. Hall, Terry A. Lennie, Joseph Holtman, Melissa Thomas, Zohn Centimole, Carrell Rush, Christian C. Apfel

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Purpose: The purpose of this study is to determine patient management strategies and outcomes for self-care of postdischarge nausea and vomiting (PDNV). Design: Prospective, comparative, descriptive, and longitudinal study. Methods: The sample consisted of 248 patients aged 18 years or older undergoing a procedure requiring general anesthesia. Patients recorded incidence and severity of nausea and vomiting, the impact of symptoms, and actions taken to alleviate symptoms for 7 days postdischarge. Findings: The prevalence of PDNV was 56.9%. The methods used to relieve symptoms included antiemetic use by a minority and nonpharmacologic techniques of self-management by some. The effect of nausea on QOL, patient functioning, and patient satisfaction was significantly worse for those who experienced postdischarge nausea on all days. Conclusion: Patients with PDNV use minor self-care strategies to manage symptoms. The presence of PDNV affects overall quality of life, patient functioning, and patient satisfaction.

Original languageEnglish
Pages (from-to)275-284
Number of pages10
JournalJournal of Perianesthesia Nursing
Volume29
Issue number4
DOIs
StatePublished - Aug 2014

Keywords

  • Ambulatory surgery
  • Day surgery
  • Outpatient surgery
  • Postdischarge nausea and vomiting
  • Quality of life

ASJC Scopus subject areas

  • Medical–Surgical

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