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Patients experiencing local anaesthesia and hip surgery
Annika L Mauleon1, Liisa Palo-Bengtsson, Sirkka-Liisa Ekman
1Division of Gerontological Caring Science, Neurotec Department, Karolinska Institutet, Stockholm, Sweden. alr@bth.se
Journal of Clinical Nursing
|April 28, 2007
Summary
Patients undergoing local anaesthesia and surgery face psychological challenges. Understanding patient experiences of pain, trust, and alienation is crucial for providing effective care and support during these procedures.
Area of Science:
- Medical Sociology
- Psychological Studies
- Surgical Care
Background:
- Local anaesthesia (LA) keeps patients awake during surgery, necessitating attention to their psychological and psychosocial needs.
- Identifying and addressing these patient needs is vital for optimal surgical outcomes and well-being.
Purpose of the Study:
- To explore and understand the lived experience of patients undergoing local anaesthesia and surgical procedures.
- To identify the psychological and psychosocial challenges patients encounter while remaining conscious during surgery.
Main Methods:
- Qualitative study involving interviews with seven patients (aged 61-79) undergoing hip surgery under local anaesthesia.
- Utilized Benner's interpretive phenomenological method to analyze patient experiences.
- Employed a paradigm case to illustrate findings.
Main Results:
- Patient well-being is challenged by severe pain and prolonged waits, which can feel overwhelming.
- Trust in healthcare providers is a key factor enabling patients to maintain a sense of control.
- Experiences of alienation and unreality can arise during anaesthesia and surgery.
Conclusions:
- Local anaesthesia and surgery necessitate patients managing complex experiences of pain, trust, distrust, alienation, and unreality.
- Recognizing patient perspectives on their care is essential for providing qualitative support.
- Facilitating patient control and addressing psychological challenges enhances care during anaesthesia and surgical situations.
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