Odom-Forren Jan, Reed Deborah B, Rush Carrell
AORN J. 2017 May;105(5):464-477. doi: 10.1016/j.aorn.2017.03.005.
Patients who undergo orthopedic ambulatory surgery have reported high levels of symptom distress during recovery at home. Content analysis of this qualitative descriptive study identified techniques of symptom management that effectively reduce postoperative symptom distress after orthopedic ambulatory surgery and provided insight into facilitators and barriers to postsurgery self-management. Focus groups consisted of 19 patients and caregivers recruited from a university orthopedic surgery office. The authors identified the common themes as distressing symptoms and consequences of surgery, management of symptoms, and self-management facilitators and barriers. Participants in our study noted the lack of continuity of care after discharge and wanted to know the realities of symptoms and receive more detailed information from care providers on how to self-manage symptoms. Nurses involved in the care of these patients should focus not only on short-term recovery, but on preparing patients to manage sustained recovery issues at home.
接受骨科门诊手术的患者报告称，在家康复期间症状困扰程度较高。这项定性描述性研究的内容分析确定了症状管理技巧，这些技巧能有效减轻骨科门诊手术后的术后症状困扰，并深入了解了术后自我管理的促进因素和障碍。焦点小组由从大学骨科手术办公室招募的19名患者和护理人员组成。作者确定的共同主题为令人困扰的症状及手术后果、症状管理以及自我管理的促进因素和障碍。我们研究的参与者指出出院后缺乏连续护理，希望了解症状的实际情况，并从护理人员那里获得更多关于如何自我管理症状的详细信息。参与这些患者护理的护士不仅应关注短期康复，还应帮助患者做好在家应对持续康复问题的准备。
