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术后日间手术出院后阶段的合作伙伴体验——一项定性研究。

Partners' experiences of the postdischarge period after day surgery--a qualitative study.

机构信息

Research Unit, Department of Anaesthesiology, Copenhagen University Hospital, Herlev, Denmark.

出版信息

J Clin Nurs. 2012 Sep;21(17-18):2518-27. doi: 10.1111/j.1365-2702.2012.04116.x. Epub 2012 Jun 12.

Abstract

AIMS AND OBJECTIVES

Day surgery shifts the responsibility of care from the hospital to patients and their families. This study explored how partners of day surgery patients experienced their role after patient discharge.

BACKGROUND

Many surgical procedures formerly requiring inpatient care are now carried out on a day surgery basis, shifting responsibility of care to patients and their partners/relatives. Little is known about how partners of day surgery patients manage this responsibility.

DESIGN

Qualitative descriptive.

METHODS

Individual semi-structured interviews with 11 partners of day surgery patients who had undergone shoulder surgery. Systematic text condensation was used to analyse data.

RESULTS

The following aspects were identified: the first is 'It's all about being there for the patient by taking care of the patient's needs and by mobilising one's network,' referring to the provision of reassurance, helping with activities of daily living, facilitating information, being on the alert for adverse events and taking an average 1-4 days off work. The second is 'Contributing to society as a partner,' referring to partners' sense of citizenship resulting from being carers. Finally, prior experiences of hospitalisation and illness appeared to impinge upon partners' ways of taking on the responsibility of care.

CONCLUSION

Partners readily accepted their role as carers. This is essential for the day surgery concept to succeed.

RELEVANCE TO CLINICAL PRACTICE

In the light of the continuing expansion of day surgery and the ensuing transfer of care to patients and their relatives, it is important for healthcare professionals to assess relatives' capability to care for day surgery patients.

摘要

目的和目标

日间手术将护理责任从医院转移到患者及其家属身上。本研究探讨了日间手术患者的伴侣在患者出院后如何体验他们的角色。

背景

许多以前需要住院治疗的外科手术现在都在日间手术的基础上进行,将护理责任转移给患者及其伴侣/亲属。对于日间手术患者的伴侣如何管理这种责任,知之甚少。

设计

定性描述。

方法

对 11 名接受肩部手术的日间手术患者的伴侣进行了单独的半结构化访谈。系统文本压缩用于分析数据。

结果

确定了以下几个方面:第一个是“为患者提供照顾,满足患者的需求,调动自己的关系网络,这一切都是为了患者”,指的是提供安慰、帮助日常生活活动、促进信息交流、警惕不良事件发生,并平均请假 1-4 天。第二个是“作为伴侣为社会做出贡献”,指的是伴侣作为照顾者所产生的公民意识。最后,先前的住院和患病经历似乎影响了伴侣承担护理责任的方式。

结论

伴侣欣然接受照顾者的角色。这对于日间手术概念的成功至关重要。

对临床实践的重要性

鉴于日间手术的持续扩展以及随之而来的将护理责任转移给患者及其亲属,医疗保健专业人员评估亲属照顾日间手术患者的能力非常重要。

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