E-Posters-10191

10191_Heit

Pdf Summary

A prospective longitudinal study was conducted to identify predictors of postdischarge surgical recovery following laparoscopic sacrocolpopexy in patients with pelvic organ prolapse. A total of 171 study participants completed a preoperative survey and postoperative survey at four time points. The surveys included the Postdischarge Surgical Recovery Scale 13 (PSR13) to measure recovery. Multivariate linear regression models were used to analyze the data.<br /><br />The study found several predictors of postdischarge surgical recovery. Sociodemographic/clinical predictors that positively predicted recovery included age, body mass index, and preoperative pain. However, medical co-morbidity negatively predicted recovery. Surgical predictors showed that perioperative complications negatively predicted recovery, while change in the leading edge of prolapse after surgery positively predicted recovery. Psychosocial predictors revealed that doctors' locus of control negatively predicted recovery, with women who followed doctor's orders having lower PSR13 scores. On the other hand, others' locus of control positively predicted recovery, with women who believed in the role others play in their condition having higher PSR13 scores. Furthermore, investment in the sick role negatively predicted recovery, with women who saw their pelvic organ prolapse as exempting them from normal responsibilities having lower PSR13 scores.<br /><br />Based on the findings, the study suggests that modifying patient expectations using the identified predictors of recovery could provide evidence-based guidance on recovery times for patients and family members. Physicians may also consider modifying their narrative during preoperative consultation to align with current medical evidence that devalues postoperative restrictions, thereby rejecting the idea of investing in the sick role. These efforts could potentially expedite the recovery process for patients scheduled for laparoscopic sacrocolpopexy.<br /><br />In conclusion, this study identified sociodemographic/clinical, surgical, and psychosocial predictors of postdischarge surgical recovery following laparoscopic sacrocolpopexy. The findings provide valuable insights for healthcare professionals in managing and guiding patients through their recovery journey.

Keywords

postdischarge surgical recovery

laparoscopic sacrocolpopexy

predictors

sociodemographic/clinical predictors

surgical predictors

psychosocial predictors

perioperative complications

doctors' locus of control

others' locus of control

recovery journey