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患者等待日间手术期间的情绪体验。

Patients' experience of mood while waiting for day surgery.

作者信息

Svensson Margita, Nilsson Ulrica, Svantesson Mia

机构信息

Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.

Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

出版信息

J Clin Nurs. 2016 Sep;25(17-18):2600-8. doi: 10.1111/jocn.13304. Epub 2016 Jun 27.

DOI:10.1111/jocn.13304
PMID:27349201
Abstract

AIMS AND OBJECTIVES

The aim was to describe the moods experienced by people waiting for day surgery.

BACKGROUND

Except for anxiety, there is a lack of knowledge about the moods experienced by patients while waiting for day surgery, as well as the impact of mood during the perioperative period. Preoperative anxiety is common and has multiple negative effects. A deeper knowledge of preoperative moods and how they are experienced is needed and may be useful for improving perioperative care.

DESIGN

Qualitative descriptive design.

METHODS

Qualitative semi-structured interviews (n = 20) with adults waiting for day surgery in a Swedish university hospital. Data were analysed with inductive content analysis.

RESULTS

The informants described a variety of moods and mood-influencing reasons. The main category that emerged was, 'feeling hope about regaining health as a help to balance mood' regardless of mood. This category was abstracted from the generic categories 'experiencing a harmonious mood' and 'experiencing a shifting mood'. The subcategories were 'feeling calm and at ease despite concerns and fear,' 'experiencing expectation,' 'feeling trust and confidence,' 'shifting between expectancy and anxiety,' 'feeling vulnerable and exposed, and 'feeling uncertainty'.

CONCLUSIONS

The findings contribute to the knowledge about that regardless of mood, feeling hope about regaining health may help patients to balance their mood during the waiting period.

RELEVANCE TO CLINICAL PRACTICE

The results can have implications with respect to developing and improving preoperative care, such as having clinicians extend offers of individual assistance and information during the waiting period to patients experiencing shifting mood. Instilling hopefulness in patients who are waiting for day surgery by means of clinical staff attitudes and interactions may help patients to develop healthy coping strategies and thereby improve their physical and emotional well-being.

摘要

目的

描述等待日间手术患者的情绪状态。

背景

除焦虑外,对于患者在等待日间手术期间的情绪体验以及围手术期情绪的影响,我们了解甚少。术前焦虑很常见且有多种负面影响。我们需要更深入地了解术前情绪及其体验方式,这可能有助于改善围手术期护理。

设计

质性描述性设计。

方法

对瑞典一家大学医院等待日间手术的成年患者进行质性半结构式访谈(n = 20)。采用归纳性内容分析法对数据进行分析。

结果

受访者描述了多种情绪及影响情绪的原因。出现的主要类别是“因希望恢复健康而有助于情绪平衡”,无论情绪如何。该类别从“体验和谐情绪”和“体验情绪波动”这两个一般类别中提炼得出。子类别包括“尽管有担忧和恐惧但仍感到平静和安心”、“体验期待”、“感到信任和信心”、“在期待和焦虑之间转换”、“感到脆弱和暴露”以及“感到不确定”。

结论

研究结果有助于了解,无论情绪如何,对恢复健康抱有希望可能有助于患者在等待期间平衡情绪。

与临床实践的相关性

这些结果可能对制定和改进术前护理有启示,比如让临床医生在等待期间向情绪波动的患者提供个性化的帮助和信息。通过临床工作人员的态度和互动,向等待日间手术的患者灌输希望感,可能有助于患者制定健康的应对策略,从而改善他们的身心健康。

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