Statement of the Problem
The study was conducted to utilize Myra Ernestine Levine's Four Conservation Principle in the recovery of post abdominal surgery patients. The case study answered the following queries: 1. What is the profile that influence the recovery of the post abdominal surgery patients based on Levine's Conservation Principle? 2. What is the length of recovery of post abdominal surgery patients? 3. Is their a relationship between the length of recovery of post abdominal surgery patients and the factors based on Levine's Conservation Principle?
The study utilized a descriptive survey method of research using purposive sampling method. A researcher made-questionnaire was used. It was conducted at Vicente Sotto memorial Medical Center Obstetrics Ward, and Male Surgical Ward, both located on the first floor right wing.
The researcher covered a total number of 50 respondents that were selected using purposive sampling from January 13-22, 2010 at the said facility. This was made possible through the request given by the dean of the College of Nursing, Dr. Marylou B. Ong, to the chief of Vicente Sotto Memorial Medical Center, Dr. Alma B. Ungab. The inclusion criteria for the respondents were the following: adult, post operative major abdominal surgery, and any gender.
The Profile of the respondents showed that ninety percent (90%) of the respondents had cesarian section and only ten percent (10%) had other type of major abdominal surgery. Fifty-Six (56%) percent of the respondents had reached high school level and only two (2%) had no education. The average age of the respondents is 28.58 years old, with the youngest at 17 years old, and the oldest at 49 years old.
For the length of hospital stay in days, the average length of hospital stay of the respondents was 3.94 days with the standard deviation of ± 1.352 days with two (2) days as the shortest, and nine (9) days as the longest.
The study showed that on Levine's Conservation of Energy Principle, there is significant relationship between the length of recovery and having eight hour sleep, normal rate of respiration, normal respiratory/lung sounds, absence of respiratory/lung conditions such as cough wheeze, dyspnea( as evidenced by nasal flaring), regular meal consumption of three times a day; and medication compliance.
On Levine's Conservation of Structural Integrity, there is significant relationship between the length of recovery and the wound healing. However, early ambulation did not show any significant relationship to recovery.
On Levine's Conservation of Personal Integrity, Self Awareness and self esteem is not significantly related to the length of recovery of post abdominal surgery patients.
On Levine's Conservation of Social Integrity, there is significant relationship between the length of recovery and the assistance from family, friends or loved ones.
Based on the findings of the study, there are factors influencing the early recovery of post abdominal surgical patients. The Conservation Principles of Levine has tremendously aided in identifying holistically the determinants to early recovery of these surgical patients.
Of the four Conservation principles of Levine, the Conservation of Energy, Conservation of Structural Integrity, Conservation of Social Integrity significantly influenced the recovery of the post abdominal surgery patients and were proven statistically. However, Levine's Principle on Conservation of Personal Integrity contributed to recovery although not statistically significant.
The findings of the study lead to the following recommendations:
- To utilize Levine's Conservation Principle as an assessment tool to evaluate early recovery of surgical patients.
- To formulate health teachings for surgical patients according to Levine's Conservation Principles.
3. To conduct further studies involving Levine's Conservation Principles in medical conditions.