Uhrenfeldt Lisbeth, Høybye Mette Terp
Horsens Hospital Research Unit, Horsens, Denmark.
Department of Health, Science and Technology, Aalborg University, Aalborg, Denmark;
Int J Qual Stud Health Well-being. 2015 Oct 23;10:28830. doi: 10.3402/qhw.v10.28830. eCollection 2015.
Today, hospitals offer surgical treatment within a short hospital admission. This brief interaction may challenge the well-being of old patients. The aim of this study was to explore how the well-being of old hospitalized patients was affected by the interaction with staff during a fast-track surgical treatment and hospital admission for colon cancer. We used an ethnographic methodology with field observations and unstructured interviews focusing on one patient at a time (n=9) during a full day; the hours ranging from 7:45 a.m. to 8 p.m. Participants were between 74 and 85 years of age and of both sexes. The study was reported to the Danish Data Protection Agency with reference number (2007-58-0010). The encounter between old patients and the staff was a main theme in our findings elucidating a number of care challenges. The identified care challenges illustrated "well-being as a matter of different perspectives," "vulnerability in contrast to well-being," and "staff mix influencing the care encounter." The experience of well-being in old cancer patients during hospital admission was absent or challenged when staff did not acknowledge their individual vulnerability and needs.
如今，医院在患者短期住院期间提供手术治疗。这种短暂的互动可能会对老年患者的健康状况构成挑战。本研究的目的是探讨在快速通道结肠癌手术治疗及住院期间，老年住院患者的健康状况是如何受到与医护人员互动的影响的。我们采用人种志方法，通过实地观察和非结构化访谈，在一整天的时间里每次聚焦于一名患者（共9名），时间从上午7:45至晚上8点。参与者年龄在74至85岁之间，涵盖男女两性。该研究已向丹麦数据保护局报备，备案编号为（2007 - 58 - 0010）。老年患者与医护人员之间的接触是我们研究结果中的一个主要主题，揭示了一些护理方面的挑战。所确定的护理挑战体现了“健康状况因视角不同而异”“与健康状况相对的脆弱性”以及“医护人员构成影响护理接触”。当医护人员不承认老年癌症患者的个体脆弱性和需求时，他们在住院期间的健康体验就会缺失或受到挑战。
