A study to evaluate the effectiveness of care bundles interms of anxiety and post-operative complications among women undergoing hysterectomy in selected hospital at Meerut

Background: According to FOGSI -Hysterectomy is one of the most frequently performed surgical procedure worldwide. However, in India six in every 100 women aged 30-49 have had a hysterectomy and the prevalence is about 11 per 100 women in the age group of 45-49 years, according to study in Reproductive Health journal. In order for the blessing of a mother to bear a child and deliver it, is a favor of God and removing the organ which bear child is a most difficult process for women feminine identity. The researcher aim is to assess and evaluate the effectiveness of care bundle given to hysterectomy women in terms of anxiety and post-operative complication. O bjectives of the study 1. To assess the level of anxiety and risk of post-operative complications (constipation and urinary tract infection) among women undergoing hysterectomy. 2. To evaluate the effectiveness of care bundles administered in experimental group as compare to control group. 3. To find out the association between level of anxiety and risk of post-operative complications with selected demographic variables. Methods: A Quasi experimental study enrolled 60 women undergoing hysterectomy, 30 in both experimental group and control group selected by purposively sampling techniques. Data was collected by using generalized anxiety disorder assessment, Kendall constipation assessment scale and Bristol urinary tract symptoms assessment scale. Pre-test and post-test were taken from both experimental group and control group, care bundles were given only to experimental group. Findings: The findings revealed that by giving care bundles to experimental group, reduces the anxiety and prevent the complication of hysterectomy confirmed by unpaired “t” test (t = 48.1 and p = < 0.001%) level for anxiety, (t=37.4and p = < 0.001%) for constipation, (t= 35.5and p = < 0.001%) for urinary tract infection. Discussion: The study showed that women who received the care bundle are having less complications as compared to the women who didn’t receive care bundles. These results are significant associated with pre-test of complications where women have received the care bundles postoperatively. Conclusion: There was a marked improvement in level of anxiety and early recovery in post-operative colony phase for patients’ security care bundles. Binder and post-operative complications in experimental group. The use of care bundles on experimental group of hysterectomy women was significantly higher than control group.