Division of Nursing and Medical Technology, Department of Health Science, Luleå University of Technology, Luleå, Sweden.
Division of Nursing and Medical Technology, Department of Health Science, Luleå University of Technology, Luleå, Sweden.
J Perianesth Nurs. 2022 Aug;37(4):515-520. doi: 10.1016/j.jopan.2021.10.012. Epub 2022 Mar 10.
Day surgery is a common phenomenon and is associated with several benefits including cost-effectiveness. However, patients are required to manage their postoperative recovery at home. Patients undergoing orthopedic surgery are a particularly vulnerable group, and their postoperative recovery requires further investigation. This study aimed to describe the experiences of postoperative recovery of patients who had undergone orthopedic day surgery.
A qualitative and descriptive study design was used METHODS: Participants were selected purposefully and included 18 orthopedic day-surgery patients who underwent surgery in October and November 2020. Semi-structured interviews were conducted from December 2020 to February 2021. All interviews were recorded and transcribed verbatim. The transcribed data were analyzed using qualitative content analysis with an inductive approach. The process of analysis was done in several steps and resulted in four categories FINDINGS: Four categories that described the postoperative recovery experiences of patients who underwent orthopedic day surgery were developed: (1) Questions arose when I got home; (2) I wanted confirmation that I was on the right path; (3) I felt lonely and dependent on others; and (4) I strove to find a balance between activity and rest CONCLUSIONS: For most patients, there was no follow-up after day surgery. However, patients expressed a desire for confirmation that their recovery process was within the normal trajectory. Most of the recovery takes place at home, leading to feelings of loneliness and highlighting the need for support from healthcare providers and close relatives. A phone call from a nurse after surgery might offer support, reduce feelings of loneliness, and promote a sense of safety. This study highlights the importance of systematic follow-up following orthopedic day surgery.
日间手术是一种常见现象,具有成本效益等诸多益处。然而,患者需要在家中管理术后恢复。接受骨科手术的患者是一个特别脆弱的群体,他们的术后恢复需要进一步研究。本研究旨在描述接受骨科日间手术患者的术后恢复体验。
采用定性和描述性研究设计。
有目的地选择参与者,包括 18 名 2020 年 10 月和 11 月接受骨科日间手术的患者。2020 年 12 月至 2021 年 2 月进行了半结构式访谈。所有访谈均进行录音并逐字记录。使用归纳法的定性内容分析法对转录数据进行分析。分析过程分几个步骤进行,结果得出四个类别:(1)回家后出现问题;(2)我希望确认自己走在正确的道路上;(3)我感到孤独,依赖他人;(4)我努力在活动和休息之间找到平衡。
对于大多数患者来说,日间手术后没有后续护理。然而,患者表示希望确认他们的恢复过程处于正常轨道。大部分恢复都是在家里进行的,导致孤独感,并强调需要得到医疗保健提供者和亲密亲属的支持。手术后护士的一个电话可能会提供支持,减轻孤独感,并增强安全感。本研究强调了骨科日间手术后系统随访的重要性。