患者经验:手术后增强恢复的预实施方案:质量调查
Bianca Poletti1, Georgia Stringer2, Kate Furness3,4
1Faculty of Health Science (Biomedical Science), Swinburne University of Technology, Hawthorn, Victoria, 3122, Australia.
Journal of multidisciplinary healthcare
|March 19, 2024
概括
这项研究探讨了手术后增强恢复 (ERAS) 实施前的患者经验. 研究结果强调需要更好的沟通,准备和后护,以改善外科患者的体验,并为澳大利亚的ERAS协议提供信息.
科学领域:
- 外科手术患者的经验
- 医疗保健服务研究 医疗服务研究
- 在外科手术期间的护理.
背景情况:
- 大型腹部手术患者的经验对于改善护理至关重要.
- 了解程序前实施经验对于优化外科手术途径至关重要.
- 澳大利亚医院的健康促进可以通过以患者为中心的方法来加强.
研究的目的:
- 在实施手术后增强恢复 (ERAS) 计划之前,探索接受重大腹部手术的成年人的经历.
- 确定影响患者在术后期体验的关键主题.
- 为澳大利亚医疗保健机构开发和实施ERAS协议提供信息.
主要方法:
- 定性研究涉及深入的,半结构化的电话采访18名成年患者 (51-82岁) 接受重大腹部手术.
- 采用主题分析,将面试数据综合为五个诱导主题:准备,沟通,后续护理,期望和整体经验.
- 参与者选择是基于预定义的包含-排除标准.
主要成果:
- 出现了五个关键主题:为手术做好准备,沟通,后期护理,对手术的期望和整体经验.
- 患者的经验强调了充分的信息,明确的沟通和强大的支持系统在整个外科手术期间的重要性.
- 研究结果表明,患者参与,有效的沟通策略和出院计划对手术结果和满意度有重大影响.
结论:
- 确定了改善手术患者体验的障碍,为澳大利亚的ERAS协议实施提供了见解.
- 这项研究强调了整合性,以人为中心的护理方法的价值,以改善健康促进和患者的结果.
- 获得的知识可以指导临床实践,实施策略和ERAS的教育计划,最终提高外科护理的质量.
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