Abstract
BackgroundThe COVID-19 pandemic is a serious global health threat and it has numerous impacts on human life. India faced the problem of the second wave of COVID-19 and an unexpected new predicament in the form of mucormycosis has been added. The use of steroids drugs for long duration and comorbidity with COVID-19 infections are the risk factors of mucormycosis. It is important to understand the postoperative clinical pathway to assess and determine the policy and protocol, which help patients fasten their recovery, prevent further complications and readmission.MethodsA cross-sectional descriptive design was used to conduct the study. We adopted the validated Immediate Post-Operative Recovery Assessment (IPR-PA) Scale to assess the postoperative clinical nursing care pathway for patients with mucormycosis.ResultsThe current study shows that patients had highest score in the physiology clinical recovery domain (75.25%) and the lowest post-operative clinical recovery score in psycho-social domain (20.83%). There was a significant positive correlation was found between all the domains. The medication status domains found significantly associated with participants’ age (P=.021) and physiological domains has shown significant association with received oxygen therapy during hospitalization (P=.046).ConclusionPostoperative clinical nursing care pathway was effective to determine the progress of a patient. It helps us to know the parameter of different domains namely being physiological, physical, psycho-social and medication status. Patients required psycho-social support due to the epidemic and fear from disease.
Highlights
India had a painful and bitter experience because of the devastating second wave of COVID-19 with an increase mortality rate as compared to the first wave [1]
A greater number of patients 71 (78.9%) had a history of COVID-19 infection, out of them 53 (58.9%) patients were admitted in hospital and about 33 (36.7%) of them reported that they received oxygen therapy during hospitalization
It is found that mucormycosis patients had highest score in the physiology clinical recovery domain (75.25%) followed by the physical domain (74.60%)
Summary
India had a painful and bitter experience because of the devastating second wave of COVID-19 with an increase mortality rate as compared to the first wave [1]. The clinical pathway on postoperative recovery patient following pancreaticoduodenectomy was done and results suggested the CPW reduced inconsistency and permitted a more substantial proportion of patients to receive all the fundamentals of care, ensuing in improved excellence and efficiency of care based on recent best evidence endorsements [7]. Heeba M, conducted a study to investigate the effect of clinical pathways of postoperative nursing care for patients undergoing gynaecologic operations on the postoperative outcome. The study shows that the clinical pathway was effective in improving postoperative outcomes related to early ambulation, early oral intake, bowel mobility, hours to remove catheters and drains, a short length of stay and patient satisfaction [8]. We adopted the validated Immediate Post-Operative Recovery Assessment (IPR-PA) Scale to assess the postoperative clinical nursing care pathway for patients with mucormycosis.
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