School of Nursing and Midwifery, Allerton Campus, University of Salford, Salford, UK.
J Clin Nurs. 2011 Nov;20(21-22):3143-51. doi: 10.1111/j.1365-2702.2011.03763.x. Epub 2011 Jul 18.
To explore patients' experiences following discharge from the day surgery unit.
The shape of twenty-first surgical care is changing. Due to political drivers, the self-care ethos and cost containment as well as technological advances, surgery, which previously required a lengthy hospital stay can now be performed in a day. Care that was previously performed by nurses is now transferred to the patient and their carer.
A Glaserian grounded theory methodology was used.
A semi-structured interview took place by telephone on two occasions following discharge from 2004-2006. One hundred and forty-five patients and their carers were recruited from two day surgery units in the UK. Analysis took place by constant comparisons of interview data, line by line analysis and referral to field notes and memos until core categories emerged.
Three major themes emerged from this study: the difficulties patients encountered in caring for themselves or their loved ones; the desire for obtaining professional support once they were discharged home; and nostalgia for past times.
This study adds new insights to the discharge experiences of day surgery patients. Discharge planning should be started at the pre-assessment stage of the day surgery process and should be a joint venture between community staff, patients and day surgery nurses. More information should be given concerning community services available to the patients and educational programmes need to be developed to address the changing nature of surgical care.
Raising awareness of the problems patients may experience following discharge from day surgery may encourage a more pro-active attitude towards planning discharge services by a combined approach from day surgery nurses and community (district) nurses.
探索患者从日间手术病房出院后的体验。
二十一世纪的外科护理模式正在发生变化。由于政治驱动、自我护理理念、成本控制以及技术进步，以前需要长时间住院的手术现在可以在一天内完成。以前由护士执行的护理工作现在转移到了患者及其照顾者身上。
采用了格拉泽的扎根理论方法。
在 2004 年至 2006 年期间，从英国的两个日间手术病房出院后，通过电话进行了两次半结构化访谈。共招募了 145 名患者及其照顾者。通过对访谈数据进行逐行比较、线性分析，并参考现场笔记和备忘录，直到出现核心类别，对数据进行了分析。
本研究从三个主要主题中得出结论：患者在照顾自己或亲人方面遇到的困难；他们希望在出院回家后获得专业支持；以及对过去时光的怀念。
这项研究为日间手术患者的出院体验提供了新的见解。出院计划应在日间手术流程的预评估阶段开始，并应由社区工作人员、患者和日间手术护士共同参与。应向患者提供有关社区服务的更多信息，并制定教育计划，以应对外科护理性质的变化。
提高对患者从日间手术出院后可能遇到的问题的认识，可能会鼓励日间手术护士和社区（地区）护士采取联合方法，更积极地为出院服务计划。
