Department of Surgery, South Auckland Clinical Campus, Middlemore Hospital, University of Auckland, Private Bag 93311, Otahuhu, Auckland, New Zealand.
Department of Surgery, Auckland Hospital, Auckland District Health Board, Auckland, New Zealand.
World J Surg. 2021 May;45(5):1362-1369. doi: 10.1007/s00268-020-05936-x. Epub 2021 Jan 21.
Emergency laparotomy (EL) is a commonly performed operation with high rates of morbidity and mortality. Despite a growing body of literature on outcomes from EL, there is sparse literature on the patient experience. The aim of this study is to capture the perspective of patients on their EL experience. Qualitative methodology is used as a platform to allow patients to express their personal experiences and ideas around the EL process.
Participants were consented as a part of a large observational study, established across the three public teaching hospitals in Auckland, New Zealand. Patients who had an EL within the past 4 months were recruited. A recorded interview was conducted either face-to-face or over the telephone, using questions formulated from a previous systematic review on EL outcomes. Transcripts were transported to NVivo and thematically analysed by two reviewers.
Fifteen participants were interviewed. The majority of participants were female, New Zealand European and 65 or older. Five important themes were identified. Overall, participants expressed satisfaction with their interactions with hospital staff. However, they wanted more information about their condition, operation and what outcomes might occur. Participants also described post-operative priorities in the acute setting, as well as long-standing physical and emotional impacts.
This study provides a better understanding of what is important to patients during the EL process. This information is important when considering ways to improve care and communication with patients undergoing EL.
急诊剖腹手术（EL）是一种常见的手术，其发病率和死亡率都很高。尽管有越来越多的关于 EL 结果的文献，但关于患者体验的文献却很少。本研究旨在了解患者对 EL 体验的看法。定性方法被用作一个平台，让患者能够表达他们对 EL 过程的个人经历和想法。
参与者是作为新西兰奥克兰三家公立教学医院开展的一项大型观察性研究的一部分同意参与的。招募了过去 4 个月内接受过 EL 的患者。使用从之前关于 EL 结果的系统评价中制定的问题，通过面对面或电话进行了记录访谈。转录本被传输到 NVivo 中，并由两名评审员进行主题分析。
共对 15 名参与者进行了访谈。大多数参与者为女性，新西兰白人，年龄在 65 岁或以上。确定了五个重要主题。总体而言，参与者对与医院工作人员的互动表示满意。但是，他们希望获得更多有关自己病情、手术和可能出现的结果的信息。参与者还描述了急性病期的术后重点，以及长期的身体和情绪影响。
本研究更深入地了解了在 EL 过程中对患者重要的因素。在考虑改善接受 EL 的患者的护理和沟通方式时，这些信息很重要。
