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手术当天“对你重要的事”:一项混合方法研究方案。

"What matters to you" on the day of surgery: Protocol for a mixed methods study.

机构信息

Department of Anesthesia, Centre of Head and Orthopedics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Department of Anaesthesiology and Intensive Care, Gødstrup Hospital, Herning, Denmark.

出版信息

Acta Anaesthesiol Scand. 2024 Sep;68(8):1101-1106. doi: 10.1111/aas.14430. Epub 2024 Apr 25.

Abstract

BACKGROUND

The anticipation of anesthesia and surgery is the source of fear and anxiety in millions of patients worldwide. Although patients' fear and anxiety are recognized, more knowledge is needed to address patient responses and needs. Understanding the needs of the patients are important, and asking patients directly is the first step towards addressing these needs. This again might help reducing medications such as anesthetics and postoperative pain relief. The aim of this study protocol is to describe how we will investigate what matters to patients on the day of surgery, as well as their degree-of-worry and surgical fear.

METHODS

Using a convergent mixed methods design with equal weighting of the qualitative and quantitative data strand we take advantage of the international "What Matters To You" Day on June 6, 2024 to conduct a flash mob study. We will approach perioperative departments around Denmark to participate and eligible patients arriving to the perioperative department for surgery will be invited to participate. Consenting patients are asked to complete a survey in three parts regarding (1) what matters to you, (2) degree-of-worry, and (3) surgical fear. We will use qualitative analysis for the first part and descriptive statistics for second and third parts. The data strands will be analyzed separately followed by integrated analysis and joint displays.

摘要

背景

全球数以百万计的患者都对麻醉和手术感到恐惧和焦虑,而这种预期正是恐惧和焦虑的来源。尽管已经认识到患者的恐惧和焦虑,但仍需要更多的知识来了解患者的反应和需求。了解患者的需求很重要,直接询问患者是满足这些需求的第一步。这也可能有助于减少麻醉剂和术后止痛药的使用。本研究方案的目的是描述我们将如何调查患者在手术当天的关注点,以及他们的担忧程度和手术恐惧程度。

方法

我们采用集中混合方法设计,对定性和定量数据进行同等权重处理,利用 2024 年 6 月 6 日的国际“对你重要的事”日,开展快闪民意调查研究。我们将联系丹麦各地的围手术期科室参与,并邀请来到围手术期科室进行手术的符合条件的患者参与。同意参与的患者将被要求在三个部分完成一份调查,内容涉及(1)对你重要的事,(2)担忧程度,以及(3)手术恐惧。我们将对第一部分进行定性分析,对第二和第三部分进行描述性统计分析。然后分别分析数据链,最后进行综合分析和联合展示。

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