Gilmartin Jo
School of Healthcare Studies, Baines Wing, University of Leeds, Leeds, UK.
J Clin Nurs. 2004 Feb;13(2):243-50. doi: 10.1046/j.1365-2702.2003.00836.x.
Previous research studies have demonstrated that nursing intervention is often lacking in the provision of adequate information and psychological support, and fails to meet the holistic needs of patients in the preassessment for day surgery.
The aim of this study was to elicit patients' perceptions of the preassessment preparation they received prior to day surgery.
A hermeneutic phenomenological research approach was utilized to elucidate the participants' experiences of the preassessment process and to collect data. Qualitative data were collected using face-to-face interviews and analysed thematically following procedures expounded by Colaizzi and van Manen.
The sample included 30 patients undergoing day surgery in a large teaching hospital in the north of England. The day unit built for this purpose consisted of a preassessment unit, a seated preoperative area, three theatres, a six space first stage recovery area, a 24 space second stage recovery area and a separate seated recovery area. The patient groups focused on individuals scheduled for general surgery, gynaecology and urology procedures.
Findings suggest that the nurse-led clinic appeared to function effectively; most patients felt they were adequately assessed and prepared for day surgery. The majority reported receiving comprehensive information about procedures, appreciated health education interventions and had opportunity to ask questions. A few patients pointed to deficits in information giving, indicating that their individual needs were not met, leaving them feeling anxious. Others alluded to problems associated with unexpected cancellation of procedures, which threw them into states of disequilibrium.
The findings indicate that information giving, psychological support and person-centred care could be strengthened in the preassessment preparation of patients undergoing day surgery.
先前的研究表明，在日间手术的术前评估中，护理干预往往缺乏充分的信息提供和心理支持，无法满足患者的整体需求。
本研究的目的是了解患者对日间手术前接受的术前评估准备的看法。
采用诠释现象学研究方法来阐明参与者在术前评估过程中的经历并收集数据。通过面对面访谈收集定性数据，并按照科莱齐和范曼恩阐述的程序进行主题分析。
样本包括在英格兰北部一家大型教学医院接受日间手术的30名患者。为此目的设立的日间病房包括一个术前评估单元、一个术前就座区域、三个手术室、一个有六个床位的第一阶段恢复区、一个有24个床位的第二阶段恢复区和一个单独的就座恢复区。患者群体集中于计划进行普通外科、妇科和泌尿外科手术的个体。
研究结果表明，由护士主导的诊所似乎运作有效；大多数患者觉得他们为日间手术接受了充分的评估和准备。大多数人报告收到了关于手术程序的全面信息，对健康教育干预表示赞赏，并有机会提问。一些患者指出信息提供方面存在不足，表明他们的个人需求未得到满足，这让他们感到焦虑。其他人提到了与手术意外取消相关的问题，这使他们陷入失衡状态。
研究结果表明，在接受日间手术患者的术前评估准备中，可以加强信息提供、心理支持和以患者为中心的护理。
