Background: Critically ill abdominal surgery patients are at risk of developing a paralytic ileus. Multidisciplinary interventions aim to prevent post-operative complications in the intensive care unit; including interventions to prevent the development of a paralytic ileus. However, the implementation of preventative interventions occurs ad hoc and these high risk patients still develop a post-operative paralytic ileus.
Aim: The aim of the study was to explore the implementation of post-operative interventions used in the critical care unit to prevent a paralytic ileus in patients following major open abdominal surgery.
Research design and methods: A quantitative, exploratory retrospective research design was used to answer the research question. Patient medical records were retrieved from a specialised intensive care unit situated in a private hospital in Gauteng. A unit of analysis represented the study population and a sample frame was used for choosing patient medical files in the study. Data was collected using a data collection sheet developed from literature. Data was analysed using descriptive statistics (frequency tables, odds ratio, relative risks, Pearson Chi-square test and Fisher’s exact test).
Results and Conclusions: After data analysis, the results of the study were documented. Conclusions deducted from this study highlighted three significant interventions associated with the incidence of a post-operative paralytic ileus. Further research on these three interventions may possibly prevent a paralytic ileus in critically ill abdominal surgery patients in the future. Implementation of specific evidence-based post-operative interventions has been recommended to critical care providers of the private hospital group. / Dissertation (MCur)--University of Pretoria, 2020. / Nursing Science / MCur (Nursing Sciences) / Unrestricted
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:up/oai:repository.up.ac.za:2263/79318 |
| Date | January 2020 |
| Creators | Ascencao, Cherie Je'Taime |
| Contributors | Filmalter, Cecilia Jacoba, cheriej.cvz@gmail.com, Heyns, Tanya |
| Publisher | University of Pretoria |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Dissertation |
| Rights | © 2019 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
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