综合补充医学治疗肥胖症围手术期症状：患者体验与医护人员评估
Integrative Complementary Medicine for Treatment of Bariatric Perioperative Symptoms: Patients' Experiences and Staff Evaluations.
作者信息
Keshet Yael, Attias Samuel, Ben-Arye Eran, Shaham Miri, Grimberg Ofra, Schiff Elad
机构信息
Department of Sociology and Anthropology, Western Galilee Academic College , Akko, Israel .
Complementary/Integrative Surgery Service, Bnai Zion Medical Center , Haifa, Israel .
出版信息
Bariatr Surg Pract Patient Care. 2013 Sep;8(3):108-112. doi: 10.1089/bari.2013.9980.
BACKGROUND
A unique integrative complementary medicine (CM) pilot program was launched in a general surgery department at a public teaching hospital in Israel. In addition to standard supportive care, CM treatments are used to support patients undergoing laparoscopic sleeve gastrectomy (LSG) in coping with perioperative distresses. We examined the experiences of patients and how the nursing staff evaluate these treatments.
METHODS
Qualitative semi-structured open-ended interviews were used.
RESULTS
Most patients reported that the treatments helped them to cope better with preoperative anxiety, and facilitated postoperative breathing and pain relief. Nurses reported that CM treatments enabled them to reduce doses of analgesics. Both patients and nurses suggested that preoperative CM treatment facilitated a better postoperative CM-associated outcome.
CONCLUSIONS
Integrative perioperative CM treatments improved pain and anxiety care in patients undergoing LSG. More research is needed to examine CM efficacy in improving standard LSG perioperative supportive care and to evaluate cost effectiveness.
背景
以色列一家公立教学医院的普通外科开展了一项独特的综合补充医学（CM）试点项目。除了标准的支持性护理外，CM治疗还用于帮助接受腹腔镜袖状胃切除术（LSG）的患者应对围手术期的不适。我们调查了患者的体验以及护理人员对这些治疗的评估。
方法
采用定性半结构化开放式访谈。
结果
大多数患者报告称，这些治疗帮助他们更好地应对术前焦虑，并促进了术后呼吸和疼痛缓解。护士报告称，CM治疗使他们能够减少镇痛药的剂量。患者和护士均表示，术前CM治疗有助于获得更好的术后CM相关结果。
结论
围手术期综合CM治疗改善了接受LSG患者的疼痛和焦虑护理。需要更多研究来检验CM在改善标准LSG围手术期支持性护理方面的疗效，并评估成本效益。
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