Odom-Forren Jan, Reed Deborah B, Rush Carrell
J Perianesth Nurs. 2018 Dec;33(6):801-813. doi: 10.1016/j.jopan.2017.12.002. Epub 2018 Feb 14.
The purposes of this study were to (1) identify symptoms that cause postoperative distress in ambulatory surgery patients; (2) identify symptom management techniques that effectively reduce distress of laparoscopic cholecystectomy (LC) postoperative symptoms at home after ambulatory surgery; and (3) identify facilitators and barriers to self-management of postoperative symptoms.
A qualitative descriptive study.
Two focus groups of ambulatory surgery patients who had experienced a laparoscopic cholecystectomy procedure and their caregivers were queried to elicit understanding of postoperative symptoms and symptom management techniques.
Themes identified included distressing symptoms and consequences of surgery, symptom management, and self-management facilitators and barriers. Pain was a major symptom after surgery and impacted mobility and sleep. Participants in our study wanted realistic information about symptoms and more specific information on symptom management. Caregivers were important to the success of symptom management but experienced their own stress.
Perianesthesia nurses should focus not only on the immediate recovery, but also prepare patients and their caregivers for the more prolonged issues of recovery at home.
本研究的目的是：（1）识别导致门诊手术患者术后不适的症状；（2）确定能有效减轻门诊手术后腹腔镜胆囊切除术（LC）术后症状在家中不适的症状管理技术；（3）确定术后症状自我管理的促进因素和障碍。
一项定性描述性研究。
对两组经历过腹腔镜胆囊切除术的门诊手术患者及其护理人员进行焦点小组访谈，以了解术后症状和症状管理技术。
确定的主题包括令人痛苦的症状和手术后果、症状管理以及自我管理的促进因素和障碍。疼痛是术后的主要症状，影响活动能力和睡眠。我们研究中的参与者想要关于症状的实际信息以及关于症状管理的更具体信息。护理人员对症状管理的成功很重要，但他们自己也承受压力。
围麻醉期护士不仅应关注即时恢复，还应为患者及其护理人员做好准备，以应对在家中恢复过程中更长期的问题。
