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用他们自己的话说:在老年患者的紧急整体手术后的康复
Vanessa P Ho1,2,3, Mary Joan Roach4, Kristen A Berg3
1Surgery, MetroHealth Medical Center, Cleveland, Ohio, USA.
Trauma surgery & acute care open
|June 21, 2023
概括
经过紧急整体手术 (EGS) 康复的老年患者通常依赖家庭支持,以成功恢复正常生活. 加强患者和护理人员对支持的教育对于EGS后的长期康复至关重要.
科学领域:
- 老年人手术是一门老年手术.
- 手术患者的康复手术患者的康复
- 质量健康研究 质量健康研究
背景情况:
- 紧急普通手术 (EGS) 条件,包括穿孔肠和复杂的,与显著的术后发病率和死亡率有关.
- 了解老年人经过EGS后的长期康复经验对于改善患者的治疗结果至关重要.
研究的目的:
- 探索65岁及以上的患者在经历EGS后至少1年的康复经验.
- 确定影响该患者群体成功长期康复的关键因素.
主要方法:
- 与15名参与者 (11名患者和4名护理人员) 进行了半结构化访谈,这些参与者至少在EGS后1年.
- 用一种诱导主题分析方法来分析采访成绩单,探讨决策,目标,期望,障碍和恢复的促进因素.
主要成果:
- 患者的主要目标是恢复他们以前的生活质量 ("恢复正常").
- 家庭支持 (工具和情感) 对于康复至关重要,临时支持尤其重要.
- 虽然大多数患者恢复了他们以前的生活方式,但有些人经历了持续的问题,如抑郁症,疼痛或减弱力.
结论:
- 医疗保健提供者有机会改善对老年患者及其照顾者的教育,以提供工具和情感支持.
- 增强的支持教育可以在紧急一般手术后支持成功的长期康复轨迹.
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