IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 6, Issue 3 Ver. VIII (May - June 2017), PP 50-60 www.iosrjournals.org DOI: 10.9790/1959-0603085060 www.iosrjournals.org 50 | Page Predictive Factors Affecting Postoperative Quality of Recovery for Patients Undergoing Surgery Asmaa Abdel Rahman Abdel Rahman 1 , Naglaa Elsayed Mahdy 1 , Ayman Mokhtar Kamaly 2 1 Medical Surgical Nursing department, Faculty of Nursing, Ain Shams University, Cairo, Egypt 2 Anesthesiology, intensive care and pain management department, Faculty of Medicine, Ain Shams University, Cairo, Egypt Abstract: The assessment of quality of recovery after surgery and anesthesia is considered an important issue because it provides information that could help to identify problems that may affect postoperative quality of recovery. This study aimed to assess the predictive factors affecting postoperative quality of recovery for patients undergoing surgery through the following: (1) Assessment of patients’ demographic characteristics. (2) Assessment of patient’s medical data. (3) Assessment of patient’s awareness with the recovery process and postoperative problems. (4) Assessment of the postoperative quality of recovery in patients undergoing surgery. (5) Assessment of predictive factors affecting the postoperative quality of recovery in patients undergoing surgery. Cross-sectional descriptive research design was utilized to conduct this study. The study was conducted in the surgery wards at El-Demerdash hospital affiliated to Ain Shams University Hospitals, Egypt. A purposive sample of 100 patients who were admitted to the previously mentioned settings was included in the study. Data collection tools: (1) Demographic data questionnaire. (2) Postoperative patient’s medical data assessment tool. (3) Postoperative patient’s knowledge assessment questionnaire. (4) Quality of Recovery Score Questionnaire (QoR-40). The results showed that 36% of patients had good total quality of recovery, 19% had excellent recovery, 39% had acceptable quality of recovery, while 6% only had poor quality of recovery. There were highly statistically significant differences between total quality of recovery and age, gender, type and duration of surgery and presence of other diseases. Conclusion: It was concluded that there are several factors affecting the postoperative quality of recovery for patients undergoing surgery such as patient’s gender, age, type of surgery, duration of surgery, presence of other diseases, as well as pain control. Recommendations: Conducting comprehensive patients’ assessment pre and postoperative in order to identify any factors that may affect the postoperative quality of recovery of patients. Keywords: Predictive factors, Postoperative patients, Quality of recovery, Surgery. I. Introduction Quality of recovery (QoR) after anesthesia and surgery is an important measure of the early postoperative health status of patients. Surgery and anaesthesia have certain inevitable negative impacts on the quality of life of patients, manifest as various discomforts after surgery even without specific complications [1]. The time immediately following a general anaesthetic is a critical period for patient recovery, requiring intensive observation by nurses to enable early detection of complications from surgery [2]. In the nursing discipline, postoperative recovery is an energy requiring process of returning to normality and wholeness. This is achieved by regaining control over physical, psychological, social and habitual functions, which results in returning to the preoperative levels of independence/dependence in activities of daily living and optimum level of psychological wellbeing [3]. Recovery may be viewed and assessed as an endpoint or a process. Recovery may also be viewed as absolute or relative. Therefore, it is not necessarily obvious whether a patient has ‘recovered’ from their operation as the definition of ‘recovered’ can vary [4]. The recovery process therefore extends from the end of the anaesthetic and can continue over a period of several months after discharge, and occasionally not even returning to preoperative baseline. It is also clear that recovery is also a multidimensional process that includes: emotional (support, independence); physical (symptoms, function); psychological (cognition); social and habitual patterns (daily activities). When assessing the quality of post-operative recovery, it is critical that each of these dimensions be assessed by the scale [3]. The recovery phases after surgery can be categorized as early, intermediate and late. The early postoperative recovery phase has been defined as the first 24 h or the first seven days. The speed and extent of recovery in the early phase is influenced most by pain, nausea, peri-operative medications and delirium. The intermediate phase of postoperative recovery has been defined as the first 28 or 60 days, during which the patient awaits readiness for home discharge. The extent of recovery in the intermediate phase is influenced most