探索老年患者的经验和担忧,在腰椎手术后的术后护理中实施早期动员:一项定性研究
Jie Huang1, Pan Li2, Huiting Wang2
1Spine Department, Beijing Jishuitan Hospital, Capital Medical University, No. 31, Xinjiekou East Street, Xicheng District, Beijing, China. huangjie_831106@sina.com.
BMC nursing
|October 4, 2023
概括
脊柱手术后的早期动员可以通过更好的患者教育和疼痛管理来改善. 了解患者的体验是提高老年人的康复和生活质量的关键.
科学领域:
- 老年医学 老年医学
- 神经外科 神经外科
- 质量健康研究 质量健康研究
背景情况:
- 在老年患者的脊柱手术中,早期动员越来越重要.
- 术后动员的时间有很大的不同.
- 研究重点关注腰部减压和融合后早期动员 (4小时内) 的感知.
研究的目的:
- 了解老年患者对早期动员的看法.
- 确定影响早期动员经验的因素.
- 改善术后护理和生活质量.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 24名老年患者 (10名早期动员,14名延迟) 参与.
- 在解雇前进行的15个问题访谈的内容分析.
主要成果:
- 确定了六个关键主题:担忧,福利,日常生活,疼痛,教育和支持.
- 在实践中突出了早期动员的障碍.
- 强调了外科手术前教育的关键作用.
结论:
- 清晰的指导和多学科协议对于有效的患者教育至关重要.
- 综合性疼痛管理对于成功的早期动员至关重要.
- 改善教育和协议可以减少患者的压力和焦虑.
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