Larsson Fanny, Engström Åsa, Rysst Gustafsson Silje, Strömbäck Ulrica
Division of Nursing and Medical Technology, Department of Health Science, Luleå University of Technology, Luleå, Sweden.
SAGE Open Nurs. 2024 May 26;10:23779608241258562. doi: 10.1177/23779608241258562. eCollection 2024 Jan-Dec.
Day surgery is often preferred by patients, but it can pose challenges in self-management after discharge. In addition, patients undergoing orthopedic surgery report poorer rates of postoperative recovery than patients undergoing general surgery. Understanding patients' perceptions of feeling safe while undergoing surgery facilitates individualized care and is important since it may affect their recovery.
The aim of this study was to describe patients' perceptions of feeling safe in the perioperative period when undergoing orthopedic day surgery under regional anesthesia.
The design was qualitative and descriptive. Data were collected through a cross-sectional questionnaire containing open-ended questions. Qualitative content analysis with an inductive approach was used for data analysis. Participants' characteristics were presented descriptively. The study population consisted of a consecutive sample of 97 patients who had undergone orthopedic day surgery under regional anesthesia between March and October 2022.
The categorization process resulted in the development of two categories describing participants' experience of perioperative feelings of safety when undergoing orthopedic day surgery: having someone near and having a sense of control. The results indicate that the relationship between patients and staff and the perceived feeling of control and participation are factors influencing patients' perception of feeling safe in the perioperative period.
In perioperative care, nurses play a vital role in fostering patients' sense of safety by establishing relationships. This ensures that patients can be actively engaged in their own care. Patients also need access to professional and competent staff who strives to add a personal touch and considers their perspective. Since patients undergoing orthopedic day surgery might face a more demanding postoperative recovery than they had initially anticipated, further research is suggested to explore the association between a perceived feeling of safety and postoperative recovery.
日间手术通常更受患者青睐，但出院后的自我管理可能会带来挑战。此外，接受骨科手术的患者术后恢复率比接受普通外科手术的患者要低。了解患者在手术过程中的安全感有助于提供个性化护理，这很重要，因为它可能会影响患者的恢复。
本研究的目的是描述患者在区域麻醉下接受骨科日间手术围手术期的安全感。
采用定性描述性设计。通过包含开放式问题的横断面问卷收集数据。采用归纳法进行定性内容分析以进行数据分析。对参与者的特征进行描述性呈现。研究人群包括2022年3月至10月期间连续抽取的97例在区域麻醉下接受骨科日间手术的患者。
分类过程产生了两类描述患者在接受骨科日间手术围手术期安全感体验的类别：有亲近的人陪伴和有掌控感。结果表明，患者与医护人员之间的关系以及感知到的掌控感和参与感是影响患者围手术期安全感的因素。
在围手术期护理中，护士通过建立关系在增强患者安全感方面发挥着至关重要的作用。这确保患者能够积极参与自身护理。患者还需要有专业且称职的医护人员，他们努力增添个性化关怀并考虑患者的观点。由于接受骨科日间手术的患者术后恢复可能比他们最初预期的更具挑战性，建议进一步研究以探索感知到的安全感与术后恢复之间的关联。
