剖腹产期间的外科感觉:定性分析
1Department of Anesthesiology and Perioperative Medicine, Kingston Health Sciences Centre, Kingston, Ontario, Canada.
International journal of obstetric anesthesia
|November 4, 2023
概括
在区域麻醉下进行剖腹产的患者通常会感受到压力和运动,但不会感到疼痛. 他们希望在手术前就外科感觉和手术期间的沟通获得更多的手术前咨询.
科学领域:
- 麻醉学 麻醉学
- 产科 产科 产科 产科 产科
- 患者体验 患者体验
背景情况:
- 剖腹产 (CS) 是一种在区域麻醉下进行的大型手术,使患者保持清醒.
- 这种独特的环境使患者能够感知手术的感觉和他们的环境.
- 了解主观的外科经验对于患者护理至关重要.
研究的目的:
- 描述性地评估在区域麻醉下剖腹产 (CS) 期间患者的主观手术经验.
- 为了提高对患者感知的理解,并为减少焦虑的咨询策略提供信息.
主要方法:
- 在加拿大学术中心进行的定性描述性研究.
- 在CS的一周内,对20名患者进行半结构面试.
- 对面试数据和医疗记录进行主题分析.
主要成果:
- 确定了九个主题:五个是关于手术的感觉,四个是关于手术前教育.
- 患者经常经历压力和运动感觉;疼痛是不常见的.
- 环境因素 (声音,新生儿互动) 影响了感觉感知.
结论:
- 患者希望在手术前就潜在的感觉和麻醉师的持续沟通进行手术前咨询.
- 结果可以指导知情的患者讨论和未来的研究.
- 改善沟通和教育可以减轻CS期间患者的焦虑.
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