Specialist nurse supported discharge in gynaecology: a randomised comparison and economic evaluation

European Journal of Obstetrics, Gynecology, and Reproductive Biology
Heather A DawesRobin Knill-Jones

Abstract

To determine the effect on quality of life and cost effectiveness of specialist nurse early supported discharge for women undergoing major abdominal and/or pelvic surgery for benign gynaecological disease compared with routine care. Randomised controlled trial comparing specialist nurse supported discharge with routine hospital care in gynaecology. The SF-36, a generic health status questionnaire, was used to measure women's evaluation of their health state before surgery and at 6 weeks after surgery. A further questionnaire scoring patient symptoms, milestones of recovery, information given and satisfaction, was administered prior to discharge from hospital and at 6 weeks thereafter. Gynaecology service at the Western Infirmary Glasgow, part of North Glasgow University, NHS Trust. One hundred and eleven women scheduled for major abdominal or pelvic surgery for benign gynaecological disease. SF-36 health survey questionnaire baseline scores were reported before surgery and at 6 weeks follow-up. Complications, length of hospital stay, readmission, information on discharge support and satisfaction of women were recorded at discharge from hospital and at 6 weeks follow-up. A cost consequence analysis was conducted based on the per...Continue Reading

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Aug 9, 2012·International Urogynecology Journal·Miles MurphyVivian W Sung
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