Andersson Thomas, Falk Kristin, Bjerså Kristofer, Forsberg Anna
Department of Surgery, Sahlgrenska University Hospital, 41345 Gothenburg, Sweden.
ISRN Nurs. 2012;2012:602323. doi: 10.5402/2012/602323. Epub 2012 Dec 5.
The aim of this study was to explore the lived experience of the symptoms, health, and illness reported by patients recovering after pancreaticoduodenectomy ad modum Whipple due to pancreatic or periampullary cancer. Thirteen patients with pancreatic or periampullary cancer who underwent pancreaticoduodenectomy ad modum Whipple between 2006 and 2008 were interviewed during postoperative recovery. Data were analysed using the phenomenological-hermeneutic method. The structural analysis of patient experiences revealed that recovery after pancreaticoduodenectomy was described as recapturing everyday life, being healthy, and looking to the future. Participants experienced symptoms but did not dwell on them, instead they stated that their general health was good. They strived to regain their former precancer selves and be a part of as well as contribute to the social context. Overall, the participants' view of the future was positive, and improvement in their health generated further confidence and encouragement. This study suggests that persons recovering from pancreaticoduodenectomy ad modum Whipple due to a pancreatic or periampullary tumour experience health despite postoperative symptoms. They manage their symptoms by means of different strategies and express a positive view of the future. Nurses working with such patients should adopt a person-centred approach focusing on patient perspectives, participation, and possibilities.
本研究旨在探讨因胰腺或壶腹周围癌接受惠普尔式胰十二指肠切除术的患者术后恢复过程中所报告的症状、健康及疾病体验。对2006年至2008年间接受惠普尔式胰十二指肠切除术的13例胰腺或壶腹周围癌患者在术后恢复期间进行了访谈。采用现象学诠释学方法对数据进行分析。患者体验的结构分析显示，胰十二指肠切除术后的恢复被描述为重新回归日常生活、保持健康以及展望未来。参与者虽有症状，但并未过多纠结，而是表示总体健康状况良好。他们努力恢复到癌症前的自我，融入社会并为社会做出贡献。总体而言，参与者对未来的看法是积极的，健康状况的改善带来了更多信心和鼓励。本研究表明，因胰腺或壶腹周围肿瘤接受惠普尔式胰十二指肠切除术的患者尽管术后有症状，但仍体验到健康。他们通过不同策略应对症状，并对未来持积极看法。护理此类患者的护士应采用以患者为中心的方法，关注患者的观点、参与度和可能性。
