Department of Health and Caring Sciences (HVL), Western Norway University of Applied Sciences, Bergen, Norway.
Western Norway Resource Center on Violence, Traumatic Stress and Suicide Prevention, Western Norway (RVTS West), Haukeland University Hospital, Bergen, Norway.
Scand J Caring Sci. 2021 Dec;35(4):1114-1122. doi: 10.1111/scs.12926. Epub 2020 Oct 30.
An increasing share of surgical activity is organised as day surgery, thus giving more responsibility for care to patients and their next of kin.
To obtain increased understanding of orthopaedic day surgery patients' experiences with self-management.
A descriptive interview study. Eleven men and five women aged 18-78 years, who had undergone arthroscopic knee surgery in rural Norway participated in qualitative individual interviews during autumn 2018. Systematic text condensation was used as analysis strategy.
The main theme a planned but vulnerable pathway towards self-management and five subthemes were highlighted. The interviewees were satisfied with most aspects of the day surgery. However, challenges in adapting oral and written information to self-management postdischarge, a need for further self-management support at home, and strenuous travel increased the strain.
The written and oral information and support that was planned and provided by the hospital did not meet the patients' needs for self-management support postdischarge. The day surgery care pathway seemed to lack effective educational interventions for strengthening the patients' self-efficacy and control and to have potential for improvements.
越来越多的外科手术活动被组织为日间手术，因此患者及其近亲对护理的责任更大。
更多地了解骨科日间手术患者的自我管理经验。
描述性访谈研究。2018 年秋季，在挪威农村接受关节镜膝关节手术的 11 名男性和 5 名女性，年龄在 18-78 岁之间，参加了定性的个人访谈。采用系统文本压缩作为分析策略。
主要主题是计划但脆弱的自我管理途径，以及五个副标题。受访者对日间手术的大多数方面都感到满意。然而，出院后适应口头和书面信息以进行自我管理的挑战、在家中进一步自我管理支持的需求以及艰苦的旅行增加了压力。
医院计划和提供的书面和口头信息和支持，不符合患者出院后自我管理支持的需求。日间手术护理途径似乎缺乏有效的教育干预措施，无法增强患者的自我效能感和控制力，并有改进的潜力。
