Nursing Care of Patients with Pelvic organ prolapsed Receiving Anesthesia for Vaginal Hysterectomy: Two Case Studies.

Abstract

     Pelvic Organ Prolapse (POP) is a condition in which the uterus descends abnormally through the vaginal canal, adversely affecting patients' quality of life and daily functioning. In severe cases, vaginal hysterectomy is commonly performed and requires appropriate nursing care, particularly during the period of anesthesia. This case study aimed to compare nursing care processes in two patients with uterine prolapse undergoing vaginal hysterectomy under different types of anesthesia. The cases were purposively selected from patients treated at Ban Phai Hospital in 2025. Data were collected through medical records, interviews, observation, and follow-up assessments using Gordon’s Functional Health Patterns as a framework for nursing care planning.

     The findings showed that Case 1 was diagnosed with POP stage 3 and received general anesthesia, while Case 2 was diagnosed with POP stage 4 and received spinal Block Both patients shared common risk factors, including advanced age and pelvic floor muscle weakness, but differed in body mass index and surgical experience. Nursing care in the pre-, intra-, and post-anesthesia phases was delivered according to professional standards. The responses to anesthesia differed between the two cases. During anesthesia, Case 1 experienced a complication of hypotension, while Case 2 had no complications. Post-anesthesia, Case 1 reported a pain score of 5/10 and required 2 mg of intravenous morphine. In contrast, Case 2 reported only mild pain (1–2/10) and did not require opioid analgesics.