• Feba Geevarghese
• Dr. Manju Chhugani
• Dr. Sudhir Joseph

ABSTRACT Objective: To assess the effectiveness of nurse navigation programme for patients undergoing open abdominal surgery in tertiary care hospitals of Delhi. Methods: A pilot study was conducted from Oct- Nov 2019 on 60 surgical patients according to the inclusion criteria in two tertiary care hospitals of Delhi. With the help of Non- Equivalent Control Groups Design, using purposive sampling technique the patients were equally divided into experimental group (n=30) and control group (n=30). The subjects of experimental group were administered nurse navigation programme by the researcher and they were provided education and counselling pre and post- operatively with the help of information booklet and video- assisted instruction developed by the researcher. The subjects of control group received routine care according to the hospital protocol. Standardised Numeric Pain Rating scale and self-developed structured tools such as Exercise Checklist, Comfort Checklist, Patient Satisfaction Questionnaire were utilized to collect data from patients for measuring the post- operative outcomes. The effectiveness of the nurse navigation programme was checked with regard to these post- operative parameters and patient self- care activities. Results: The obtained mean difference of pain scores between subjects of control and experimental groups from POD 1 to 5 was found to be statistically significant at 0.05 level of significance (‘t’ value = 9.5, 9.66, 9.57, 8.73, 5.28) with the experimental group patients having better pain control. The obtained mean difference of exercise scores between subjects of control and experimental groups from POD 0 to 3 & 5 was found to be statistically significant at 0.05 level of significance (‘t’ value=16.25, 14.88, 10.06, 7.37, 1.53) with subjects of experimental group having better scores in the ability to perform exercise as compared to control group. The obtained mean difference of comfort scores between subjects of control and experimental groups on POD 1, 3, 5 was found to be statistically significant at 0.05 level of significance (‘t’ value= 17.42, 8.9, 4.45) with better comfort levels among experimental group patients. The obtained mean difference of post- operative patient satisfaction scores between subjects of control and experimental groups was found to be statistically significant at 0.05 level of significance (‘t’ value= 24.8) and the subjects of experimental group were more satisfied in comparison to the control group. Conclusion: It was concluded that the nurse navigation programme is effective for patients undergoing open abdominal surgery. Key Words: Nurse navigation programme, open abdominal surgery, education, information booklet, video- assisted instruction, post- operative outcomes, patient satisfaction

Nurse navigation programme, open abdominal surgery, education, information booklet, video- assisted instruction, post- operative outcomes, patient satisfaction

"A Study To Assess The Effectiveness Of Nurse Navigation Programme For Patients Undergoing Open Abdominal Surgery In Tertiary Care Hospitals Of Delhi - Pilot Study", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.7, Issue 4, page no.782-786, April-2020, Available :http://www.jetir.org/papers/JETIR2004102.pdf

"A Study To Assess The Effectiveness Of Nurse Navigation Programme For Patients Undergoing Open Abdominal Surgery In Tertiary Care Hospitals Of Delhi - Pilot Study", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.7, Issue 4, page no. pp782-786, April-2020, Available at : http://www.jetir.org/papers/JETIR2004102.pdf