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2019冠状病毒病大流行期间接受急诊手术患者的经历:一项定性研究

Experiences of Patients Undergoing Emergency Surgery in Covid-19 Pandemic: A Qualitative Study.

作者信息

Yayla Fatma, Askeroğlu Araz

机构信息

Department of General Surgery, Taksim Training and Practice Hospital, Turkey.

Department of Surgical Nursing, Faculty of Medical Sciences, Çanakkale Onsekiz Mart University, Turkey.

出版信息

J Patient Exp. 2022 Apr 27;9:23743735221092602. doi: 10.1177/23743735221092602. eCollection 2022.

DOI:10.1177/23743735221092602
PMID:35493440
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9052816/
Abstract

The purpose of the study was to examine the experiences of patients undergoing emergency surgery during the Covid-19 pandemic. In-depth semi-structured interviews were conducted with 15 patients. Data analysis was performed using MAXQDA 20 software, and the descriptive and relational analysis method was used in the analysis of the data. Three themes were defined in the study: (a) Categories of the theme of corporate obligation: Corporate protective precautions, Covid-19 related training, individual protective precautions, and preoperative preparation; (b) Categories of the theme of challenging dilemma related to surgery: psychological factors and the difficulties of surgery in the pandemic; and (c) Categories of the theme of development of professional values: Communication with health workers, support, professionalism, and patient-institute trust relationship. We determined in the study that participants had positive and negative deep experiences. In the relational analysis, participants expressed opinions about trust in hospital staff and health workers, as well as about professionalism, environmental hygiene, physical distance, and mask necessity. The results of this study could help nurses identify the needs of patients undergoing emergency surgery during the Covid-19 pandemic, including informing and training about the surgery and discharge process, healthy communication, and psychological support.

摘要

该研究的目的是调查在新冠疫情期间接受急诊手术的患者的经历。对15名患者进行了深入的半结构化访谈。使用MAXQDA 20软件进行数据分析,并采用描述性和关系性分析方法对数据进行分析。该研究确定了三个主题:(a)企业义务主题的类别:企业防护措施、新冠相关培训、个人防护措施和术前准备;(b)与手术相关的具有挑战性困境主题的类别:心理因素和疫情期间手术的困难;(c)职业价值观发展主题的类别:与医护人员的沟通、支持、专业精神以及患者与机构的信任关系。我们在研究中确定,参与者有积极和消极的深刻经历。在关系性分析中,参与者表达了对医院工作人员和医护人员的信任、以及对专业精神、环境卫生、物理距离和口罩必要性的看法。这项研究的结果有助于护士确定新冠疫情期间接受急诊手术患者的需求,包括告知和培训手术及出院流程、进行健康沟通以及提供心理支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea2/9052816/5c3b4f169e73/10.1177_23743735221092602-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea2/9052816/5c3b4f169e73/10.1177_23743735221092602-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea2/9052816/5c3b4f169e73/10.1177_23743735221092602-fig1.jpg

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What Is the Appropriate Use of Laparoscopy over Open Procedures in the Current COVID-19 Climate?在当前 COVID-19 大流行背景下,腹腔镜相对于开放性手术的适当应用是什么?
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False negative of RT-PCR and prolonged nucleic acid conversion in COVID-19: Rather than recurrence.2019冠状病毒病中逆转录聚合酶链反应的假阴性及核酸转换延长:而非复发
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