Ammerman Darcy J, Watters James, Clinch Jennifer J, Hébert Paul C, Wilson Keith G, Morris Daniel B, Fergusson Dean
Clinical Epidemiology Program, Ottawa Health Research Institute, Ottawa, Canada.
Surgery. 2007 Jan;141(1):100-9. doi: 10.1016/j.surg.2006.07.021. Epub 2006 Sep 25.
Surgeons, other healthcare professionals, and patients may identify different health-related concerns related to the quality of life of patients undergoing major surgery.
Semistructured interviews were conducted with surgeons (n =14), other healthcare professionals (n =19), and patients undergoing major elective surgery (n = 52). Themes were extracted by content analysis and organized into major domains. The frequencies with which specific themes were mentioned were compared among groups.
A total of 85 themes were extracted from the interviews, 15 of which were mentioned by 50% or more of participants in each group, representing 5 of the 6 domains. The greatest differences were observed in the domains of social well-being, wherein 5 themes were mentioned less often by surgeons than other groups, and spiritual well-being, wherein 2 themes were mentioned more often by patients than other groups. Differences in the physical, emotional, cognitive preparation, and concern about quality of care domains were minimal.
Surgeons, other healthcare professionals, and patients identified many similar concerns related to the well-being of patients undergoing major surgery. However, the importance of social and spiritual themes to patients may be underestimated by surgeons.
外科医生、其他医疗保健专业人员以及患者可能会识别出与接受大手术患者的生活质量相关的不同健康问题。
对14名外科医生、19名其他医疗保健专业人员以及52名接受择期大手术的患者进行了半结构化访谈。通过内容分析提取主题并组织成主要领域。比较了各组提及特定主题的频率。
从访谈中总共提取了85个主题，其中15个主题在每组中50%或更多的参与者中被提及，占6个领域中的5个。在社会福祉领域观察到最大差异，其中5个主题外科医生提及的频率低于其他组；在精神福祉领域，2个主题患者提及的频率高于其他组。在身体、情感、认知准备以及对护理质量领域的差异最小。
外科医生、其他医疗保健专业人员以及患者识别出了许多与接受大手术患者的福祉相关的相似问题。然而，外科医生可能低估了社会和精神主题对患者的重要性。
