Hedgepeth Ryan C, Wolf J Stuart, Dunn Rodney L, Wei John T, Hollenbeck Brent K
Department of Urology, University of Michigan, Ann Arbor, Michigan 48105-2967, USA.
Surg Innov. 2009 Sep;16(3):243-8. doi: 10.1177/1553350609342075. Epub 2009 Aug 5.
Recovery is an integral part of the surgical process and measuring it provides insight into the impact of surgical innovation. This study used a recently validated instrument, the Convalescence and Recovery Evaluation (CARE), to measure return to baseline health after surgery and explore clinical factors associated with recovery.
Patient health was measured among 96 patients before and after abdominal and pelvic surgery. Patients were grouped by time to recovery of 90% of baseline status. chi2 Tests and logistic models were used to measure relationships between recovery time and patient characteristics, processes of care, and outcomes.
Return to baseline health was reached by 44% of patients within 2 weeks, 28% between 2 and 4 weeks, and 28% after 4 weeks. Patients who recovered faster were younger, female, single, and undergoing ambulatory surgery for benign diseases. Patients who were married, underwent surgery for cancer, or had bowel surgery were more likely to require longer recovery time.
Several patient and clinical characteristics were found to be associated with recovery after surgery. CARE appears to be sensitive to these factors and may be useful for informed decision making, assessing changes in processes of care, and evaluating the impact of surgical innovations on recovery.
康复是手术过程的一个重要组成部分，对其进行测量有助于深入了解手术创新的影响。本研究使用了一种最近经过验证的工具——康复与恢复评估（CARE），来测量手术后恢复到基线健康状态的情况，并探索与康复相关的临床因素。
对96例腹部和盆腔手术后的患者在术前和术后进行了健康状况测量。根据恢复到基线状态90%的时间对患者进行分组。采用卡方检验和逻辑模型来测量恢复时间与患者特征、护理过程及结果之间的关系。
44%的患者在2周内恢复到基线健康状态，28%的患者在2至4周恢复，28%的患者在4周后恢复。恢复较快的患者年龄较小、为女性、单身，且因良性疾病接受门诊手术。已婚、接受癌症手术或进行肠道手术的患者更有可能需要更长的恢复时间。
发现一些患者和临床特征与手术后的恢复相关。CARE似乎对这些因素敏感，可能有助于做出明智的决策、评估护理过程的变化以及评估手术创新对恢复的影响。
