Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
J Clin Nurs. 2014 Jan;23(1-2):201-10. doi: 10.1111/jocn.12360. Epub 2013 Jun 20.
To study patients' descriptions of their health after cytoreductive surgery (CRS) before discharge.
Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) affects the patient's recovery. The hospital stay is long, and it is important to study how patients experience their health postoperatively.
Qualitative descriptive design.
Between January-May 2012, individual interviews were conducted with 20 patients in a university hospital in central Sweden using a semi-structured interview guide. Data were analysed using qualitative content analysis.
Three themes (a process, body and mind, and support) and nine categories emerged. The surgery was described as a turning point, followed by a period of hope and thankfulness. Nevertheless, patients had difficulty taking in their positive feelings because they were overwhelmed by their bodily ailments. Despite the patients' descriptions of being on an emotional roller coaster, thinking about death and an uncertain future, or being in a state somewhere between sleep and wakefulness, they described themselves as being in good mental health. Continuous individualised information and support from the surgeon and staff members were described as being important for the recovery process, and none of the patients asked for counselling before discharge.
Surgery was described as a turning point followed by an uncertain future. Despite the overwhelming nature of their bodily ailments and being on an emotional roller coaster postoperatively, patients described themselves as being in good psychological health and not needing any professional counselling. Continuous individualised information from the surgeon and staff members played an important role in the recovery process.
Both staff and future patients may benefit from the patients' experiences after CRS and HIPEC described in this study. The knowledge gained from this study could be used in designing a care plan for future patients undergoing CRS and HIPEC.
研究细胞减灭术后（CRS）患者出院前对自身健康的描述。
细胞减灭术联合腹腔热灌注化疗（HIPEC）会影响患者的恢复。住院时间长，研究患者术后如何体验自身健康状况非常重要。
定性描述性设计。
2012 年 1 月至 5 月，在瑞典中部的一所大学医院对 20 名患者进行了个体访谈，使用半结构式访谈指南。采用定性内容分析法分析数据。
出现了三个主题（一个过程、身心和支持）和九个类别。手术被描述为一个转折点，随后是一个充满希望和感激的时期。然而，患者很难接受自己的积极感受，因为他们被身体上的不适所淹没。尽管患者描述自己情绪像过山车一样，想到死亡和不确定的未来，或者处于介于睡眠和清醒之间的状态，但他们描述自己的心理状况良好。来自外科医生和工作人员的持续个体化信息和支持被描述为恢复过程的重要组成部分，没有患者在出院前要求咨询。
手术被描述为一个转折点，随后是一个不确定的未来。尽管身体不适和术后情绪波动让人不堪重负，但患者描述自己心理状况良好，不需要任何专业咨询。外科医生和工作人员持续提供的个体化信息在恢复过程中发挥了重要作用。
本研究中描述的 CRS 和 HIPEC 后患者的经历，无论是对工作人员还是未来的患者都可能有益。从这项研究中获得的知识可以用于为接受 CRS 和 HIPEC 的未来患者设计护理计划。
