Gould D, Wilson-Barnett J
J Adv Nurs. 1985 Jul;10(4):315-23. doi: 10.1111/j.1365-2648.1985.tb00825.x.
Although monitoring progress is an everyday nursing activity, methods currently employed remain relatively undeveloped. In the past most studies documented physical recovery, tending to focus upon complications such as infection rates, which are quantifiable. Patients' satisfaction with progress is seldom taken into account, although it may provide a more accurate reflection of progress. In this paper, recovery following major cardiac surgery and hysterectomy performed for benign lesions are compared in terms of psychological adjustment to the effects of surgery and resumption of a wide range of activities within and outside the home, in addition to physical progress. On the whole patients accepted the effects of hysterectomy and their own assessments of recovery proved favourable despite considerable residual physical problems of a minor but troublesome nature. In contrast, recovery from cardiac surgery was more difficult and proceeded more slowly, as expected following this major operation.
尽管监测进展是日常护理工作，但目前所采用的方法仍相对不够完善。过去，大多数研究记录身体恢复情况，倾向于关注诸如感染率等可量化的并发症。患者对恢复进展的满意度很少被考虑在内，尽管它可能更准确地反映进展情况。本文除了比较身体恢复进展外，还比较了心脏大手术和因良性病变进行子宫切除术后患者在心理上对手术影响的调适情况，以及在家庭内外恢复广泛活动的情况。总体而言，患者接受了子宫切除术的影响，尽管存在一些轻微但麻烦的残留身体问题，但他们自己对恢复的评估结果良好。相比之下，正如这种大手术后所预期的那样，心脏手术的恢复更为困难且进展更缓慢。
