Yong Loo Lin School of Medicine, National University Singapore, Singapore.
Division of Colorectal Surgery, Department of Surgery, University Surgical Cluster, National University Hospital, Singapore.
Patient Educ Couns. 2021 Jun;104(6):1467-1473. doi: 10.1016/j.pec.2020.11.010. Epub 2020 Nov 21.
This qualitative review aims to provide a clearer understanding of concerns general surgery (GS) patients face in the preoperative period.
Medline, CINAHL, PsycINFO and Web of Science were searched for articles describing the preoperative concerns of GS patients. Qualitative and mixed method studies were included. Key quotes were extracted, coded, and thematically analyzed according to Thomas and Harden's methodology.
27 articles were included. Three main themes were generated: (1) lead-up to surgery, (2) postoperative recovery process and (3) standard of care. While waiting for surgery, patients were often shrouded with uncertainty and concerned themselves with the potential impacts of their disease and surgery on their wellbeing and recovery. Furthermore, patients' trust and confidence in Healthcare Professionals (HCPs) was compromised when standard of care was perceived to be deficient, resulting in doubts about HCPs' credibility and capabilities.
Patients' preoperative concerns often stem from the uncertainty and unfamiliarity surrounding surgery. To address this, a combination of effective preoperative education, individualised communication and involvement of social support should be considered.
Preoperative concerns can negatively impact patients and effective interventions will result in a better perioperative experience with fewer negative consequences arising from patients' fear and anxiety.
本定性综述旨在更清楚地了解普外科患者在术前面临的问题。
在 Medline、CINAHL、PsycINFO 和 Web of Science 上搜索描述普外科患者术前担忧的文章。纳入定性和混合方法研究。根据 Thomas 和 Harden 的方法，提取关键引语、编码并进行主题分析。
共纳入 27 篇文章。生成了三个主要主题：（1）手术前的准备，（2）术后恢复过程，（3）护理标准。在等待手术期间，患者常常笼罩在不确定性之中，担心疾病和手术对自己的健康和康复的潜在影响。此外，当患者认为护理标准不足时，他们对医护人员的信任和信心受到了损害，导致对医护人员的可信度和能力产生怀疑。
患者的术前担忧往往源于对手术的不确定性和不熟悉。为了解决这个问题，应该考虑结合有效的术前教育、个性化沟通和社会支持的参与。
术前担忧会对患者产生负面影响，有效的干预措施将带来更好的围手术期体验，减少患者的恐惧和焦虑所带来的负面后果。
