Abstract
Purpose
The purpose of this study was to investigate the influence of potential co-occurring
symptoms, including fatigue, sleep disturbance, anxiety, depressive symptoms, and
pain, on the incidence of postdischarge nausea (PDN) measured two days following discharge
to home after surgery for breast cancer.
Design
This study used a prospective, cross-sectional, observational design.
Methods
The sample was 334 women aged 27 to 88 years of age. Demographic data were collected
from the patient and the medical record before surgery. Symptom data were collected
48 hours following surgery using the Patient Reported Outcome Measurement System (PROMIS)
and numerical nausea and pain scales.
Findings
Eighty-five (25.4%) of study participants reported some nausea two days after discharge.
Study participants who experienced PDN frequently described that it occurred after
they left the hospital to drive home following their surgery. Unadjusted odds ratios
showed the presence of co-occurring symptoms of anxiety, fatigue, sleep disturbance,
and pain were all significantly associated with the presence of nausea 48 hours following
surgery. Other significant factors associated with (PDN) were history of motion sickness,
history of pregnancy-induced nausea, use of opioids, and type of surgery.
Conclusions
Same-day surgery nurses providing postoperative education for women following surgery
for breast cancer should explain to patients that nausea may occur after they are
discharged, especially those with known motion sickness. In addition, patients should
be informed that other symptoms, especially fatigue, sleep disturbance, and anxiety,
may co-occur.
Keywords
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Article info
Publication history
Published online: January 10, 2023
Publication stage
In Press Corrected ProofFootnotes
Conflict of Interest: None to report.
Funding: Acknowledgment of funding NINR016695.
Identification
Copyright
© 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
