School of Life Sciences, University of Skövde, Box 408, Skövde, (SE-541 28), Sweden.
College of Nursing, University of Rhode Island, (2 Heathman Road), Kingston, (RI 02881-2021), USA.
BMC Nurs. 2010 Oct 27;9:16. doi: 10.1186/1472-6955-9-16.
The aim of this study was to describe patients' experiences and perceived causes of persisting discomfort following day surgery. Earlier research has mainly covered symptoms and signs during a recovery period of up to one month, and not dealt with patients' perceptions of what causes persisting, longer-term discomfort.
This study is a part from a study carried out during the period May 2006 to May 2007 with a total of 298 day surgery patients. Answers were completed by 118 patients at 48 hours, 110 at seven days and 46 at three months to one open-ended question related to discomfort after day surgery constructed as follows: If you are still experiencing discomfort related to the surgery, what is the reason, in your opinion? Data was processed, quantitatively and qualitatively. Descriptive, inferential, correlation and content analyses were performed.
The results suggest that patients suffer from remaining discomfort e.g. pain and wound problem, with effects on daily life following day surgery up to three months. Among patients' perceptions of factors leading to discomfort may be wrongful or suboptimal treatment, type of surgery or insufficient access to provider/information.
The results have important implications for preventing and managing discomfort at home following day surgery, and for nursing interventions to help patients handle the recovery period better.
本研究旨在描述日间手术后持续不适的患者体验和感知原因。早期研究主要涵盖了术后一个月内的症状和体征，而没有涉及患者对导致持续、长期不适的看法。
这是一项在 2006 年 5 月至 2007 年 5 月期间进行的研究的一部分，共有 298 名日间手术患者参与。在术后 48 小时、7 天和 3 个月至 1 个月时，有 118 名患者回答了一个与日间手术后不适相关的开放式问题，问题如下：如果您仍有与手术相关的不适，您认为原因是什么？数据经过了处理，采用了定量和定性分析。进行了描述性、推断性、相关性和内容分析。
结果表明，患者在术后长达三个月的时间里，会因疼痛和伤口问题等持续不适而影响日常生活。患者对导致不适的因素的看法可能包括治疗不当或不理想、手术类型或获取提供者/信息不足。
研究结果对预防和管理日间手术后的家庭不适以及护理干预以帮助患者更好地应对康复期具有重要意义。
