It is an observational study, prospective in order to assess the impact of the implementation of an early rehabilitation program on post-operative recovery. this is measured by the qOR15 questionnaire in patients operated on for a programmed hysterectomy, it takes place in the gynecology department of the CHR Metz-Thionville hospital.
This program implemented will comply with HAS recommendations. The only change in management for patients participating in the study is the completion of the self-questionnaire QOR-15 on D-1 (the day before surgery), D0 (the day of the surgery) and D1 (the day after the surgery). It is planned to include 74 patients before the implementation of the early rehabilitation protocol and 74 patients after the implementation of the early rehabilitation protocol. The total duration of inclusion is established at 18 months. The measures applied should improve the patient's well-being and accelerate his return to normal life and therefore reduce the length of his stay.
Study Type
OBSERVATIONAL
Enrollment
220
CHR Metz-Thionville
Metz, France
Evaluation of the QoR-15 score D1
The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant.
Time frame: day 1
Overall duration of the hospital stay D-1
Overall duration of the hospital stay in days
Time frame: One day before surgery
Overall duration of the hospital stay day of discharge from hospital
Overall duration of the hospital stay in days
Time frame: Up to 30 days
Duration of fasting pre and post-operative
Duration of fasting pre and post-operative in hours
Time frame: Up to 30 days
Post-operative nausea / vomiting Day 0
Occurrence of nausea / vomiting postoperative (yes / no)
Time frame: Day of surgery
Post-operative nausea / vomiting D+1
Occurrence of nausea / vomiting postoperative (yes / no)
Time frame: One day after surgery
Post-operative nausea / vomiting day of hospital discharge
Occurrence of nausea / vomiting postoperative (yes / no)
Time frame: Up to 30 days
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Intraoperative maximum Visual Analog Scale (VAS) on day 0
Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible)
Time frame: day 0
Intraoperative maximum visual analog scale (VAS) on day 1
Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible)
Time frame: One day after surgery
Intraoperative maximum visual analog scale (VAS) on day of discharge from hospital
Maximum Visual Analog Scale (VAS) (from 0 to 100mm), 0 mm (minimum, none) 100 mm (maximum, worst pain possible)
Time frame: Up to 30 days
Time to return gastrointestinal function
Transit recovery time in hours
Time frame: Up to 30 days
Enhancement of gastrointestinal motility on Day 0
Whether or not chewing gum is taken (yes/no)
Time frame: day 0
Enhancement of gastrointestinal motility on day 1
whether or not chewing gum is taken (yes/no)
Time frame: One day after surgery
Enhancement of gastrointestinal motility on the day of discharge from the hospital
whether or not chewing gum is taken (yes/no)
Time frame: Up to 30 days
Presence of a urinary catheter or drain in postoperative
Presence of a urinary catheter or drain in postoperative (yes / no)
Time frame: day 0
Time before first standing
Time before first standing in hours
Time frame: Up to 30 days
occurrence of postoperative complications
occurrence of postoperative complications (resumption of surgery at 30 days)
Time frame: day 30
Evaluation of the QoR-15 score D0
The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant.
Time frame: Day 0
Evaluation of the QoR-15 score D-1
The QoR score 15 is a self-questionnaire of 15 items, each scored from 0 to 10. These items assess 5 dimensions of post-operative recovery: pain, physical comfort, functional autonomy, emotions and psychological support. These 15 items represent the quality of post-operative rehabilitation in its physical and mental dimensions. A variation of 8 points is considered significant.
Time frame: Day -1
Rate of laparotomy
percentage
Time frame: day 0
Mobility on day 0
The time between the end of surgery and the first time to get up in hours,
Time frame: day 0
Mobility on day 1
The time between the end of surgery and the first time to get up in hours
Time frame: One day after surgery
Mobility on the day of discharge from the hospital
The time between the end of surgery and the first time to get up in hours
Time frame: Up to 30 days