Factors Affecting Postoperative Recovery in Fort Portal Regional Referral Hospital, Uganda

Table of Contents

DECLARATION ......................................................................................................................iv

APPROVAL ..............................................................................................................................v

ACKNOWLEDGEMENT........................................................................................................vi

LIST OF FIGURES .................................................................................................................vii

LIST OF TABLES................................................................................................................. viii

LIST OF ABBREVIATIONS...................................................................................................ix

OPERATIONAL DEFINITIONS..............................................................................................x

ABSTRACT..............................................................................................................................xi

CHAPTER ONE: INTRODUCTION........................................................................................1

1.0. BACKGROUND ............................................................................................................1

1.1. PROBLEM STATEMENT.................................................................................................2

1.2. STUDY OBJECTIVES...................................................................................................3

1.2.1. MAIN OBJECTIVE....................................................................................................3

1.2.2. SPECIFIC OBJECTIVES ...........................................................................................3

1.3. RESEARCH QUESTIONS ............................................................................................3

1.4. SIGNIFICANCE OF THE STUDY................................................................................3

1.5. STUDY SCOPE..............................................................................................................4

1.5.1. GEOGRAPHICAL SCOPE ........................................................................................4

1.5.2. CONTENT SCOPE.....................................................................................................4

1.5.3. TIME SCOPE..............................................................................................................4

1.6. CONCEPTUAL FRAMEWORK...................................................................................4

CHAPTER TWO: LITERATURE REVIEW............................................................................6

2.0. INTRODUCTION ..........................................................................................................6

2.1. NUTRITIONAL STATUS AND POSTOPERATIVE RECOVERY ................................6

2.2. UNDERLYING MEDICAL CONDITIONS AND POSTOPERATIVE RECOVERY 7

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2.3. SOCIOECONOMIC STATUS AND POSTOPERATIVE RECOVERY......................8

CHAPTER THREE: METHODOLOGY ................................................................................10

3.0. INTRODUCTION ........................................................................................................10

3.1. STUDY DESIGN..............................................................................................................10

3.2. STUDY AREA .................................................................................................................10

3.3. STUDY POPULATION...................................................................................................10

3.4. SELECTION CRITERIA .................................................................................................10

3.4.1. INCLUSION CRITERIA...............................................................................................10

3.4.2. EXCLUSION CRITERIA.........................................................................................10

3.5. SAMPLE SIZE DETERMINATION ...........................................................................10

3.6. SAMPLING PROCEDURES .......................................................................................10

3.7. DATA COLLECTION METHODS AND MANAGEMENT .....................................10

3.8. DATA ANALYSIS.......................................................................................................11

3.9. QUALITY CONTROL.................................................................................................11

3.10. ETHICAL CONSIDERATIONS ..............................................................................11

3.11. LIMITATIONS OF THE STUDY............................................................................11

CHAPTER FOUR: STUDY FINDINGS.................................................................................12

4.0. INTRODUCTION ........................................................................................................12

4.1. SOCIODEMOGRAPHIC CHARACTERISTICS OF RESPONDENTS ........................12

4.1.1. RESPONDENTS’ PERSONAL INFORMATION (N=384) ........................................12

4.1.2. RESPONDENTS’ SOCIAL STATUS INDICATORS (N=384) ..................................13

4.2. AVERAGE POSTOPERATIVE DURATION OF STAY & POSTOP RECOVERY ....13

4.2.1. NUTRITIONAL STATUS & DELAYED POSTOP RECOVERY/PROLONGED

HOSPITAL STAY (N=29)......................................................................................................14

4.2.2. COMORBID CONDITIONS & DELAYED POSTOP RECOVERY/ PROLONGED

HOSPITAL STAY (N=29)......................................................................................................15

4.2.3. SOCIAL STATUS & DELAYED POSTOP RECOVERY/PROLONGED HOSPITAL

STAY (N=29) ..........................................................................................................................16

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CHAPTER FIVE: DISCUSSION, CONCLUSION AND RECOMMENDATIONS OF THE

STUDY. ...................................................................................................................................16

5.0. INTRODUCTION ........................................................................................................16

5.1. DISCUSSION OF THE STUDY FINDINGS ..................................................................16

5.2. CONCLUSIONS...............................................................................................................17

5.3. RECOMMENDATIONS..................................................................................................17

5.3.1. To The Surgical Patients of FPRRH..............................................................................17

5.3.2. To Management of FPPRH............................................................................................18

5.3.3. To The Government of Uganda through the Relevant Ministries .................................18

REFERENCES ........................................................................................................................18

APPENDICES .........................................................................................................................23

Appendix 1: Consent Form..................................................................................................23

Appendix 2: Research Instrument (English Version)..........................................................25

Appendix 4: Translated Questionnaire and Consent Form..................................................28