接受选择性大手术的老年人的观点:对接受大肠切除术的患者进行定性研究
Christy Cauley1,2,3, Atziri Rubio-Chavez1,2, Zara Cooper4,5,6
1Department of Surgery, Massachusetts General Hospital, Boston MA.
Annals of surgery
|April 16, 2025
概括
老年人经历重大手术后面临着焦虑和移动性问题等挑战. 改善沟通和社会支持可以增强他们的康复体验.
科学领域:
- 老年人手术是一项老年人手术.
- 患者的体验 患者的体验
- 定性研究是指质量研究.
背景情况:
- 对于老年人从他们的角度看手术经历的理解有限.
- 目前的文献往往侧重于临床医生的观点.
研究的目的:
- 探讨老年人接受选择性大手术时面临的挑战.
- 了解患者在手术准备和康复过程中发现的问题.
主要方法:
- 这是一项质量研究,涉及65岁以上患者的采访和调查.
- 使用修改后的框架方法分析数据,包括老年5 Ms框架.
- 感应和演主题分析,以确定患者的挑战.
主要成果:
- 在5 Ms中确定了关键挑战:心灵 (焦虑,认知问题),移动性,药物,多病症以及最重要的事情.
- 过程中的挑战包括决策沟通和期望设置.
- 便骨瘤患者报告了增加的情绪困扰和社会支持需求.
结论:
- 术前焦虑,不确定性,沟通不良和缺乏社会支持是老年手术患者面临的可改变的挑战.
- 这些发现可以为临床实践提供信息,以优化老年人手术护理.
- 未来的研究应该专注于情绪健康的干预措施和改善患者-提供者沟通.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
31
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
31
Inflammatory Bowel Disease V: Surgical Management
65
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
65
Endoscopic Procedures II: Colonoscopy
34
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
34
Peptic Ulcer Disease V: Surgical Management and Nursing Care
169
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
169
Appendicitis-II: Diagnostic Studies and Management
52
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
52
Endoscopic Studies II: Thoracocentesis
178
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
178


