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手术当天对患者至关重要的因素——一项快闪活动研究

What Matters to Patients on the Day of Surgery-A Flash Mob Study.

作者信息

Gamst-Jensen Hejdi, Brix Lone Dragnes, Madsen Tina Mai Nørgaard, Olsen Susanne Winther, Geisler Anja, Egelund Anja, Thomsen Thordis, Buch Bente, Veedfald Linda, Hansen Christina Lykke Stenberg Forsman, Nielsen Anne Højager

机构信息

Department of Anaesthesia, Centre of Head and Orthopaedics, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Department of Anaesthesiology and Intensive Care, Horsens Regional Hospital, Horsens, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

出版信息

J Perianesth Nurs. 2024 Sep 23. doi: 10.1016/j.jopan.2024.06.114.

Abstract

PURPOSE

To explore what matters to patients on the day of surgery, to describe how a flash mob study was conducted in a perioperative setting and to provide recommendations for future studies adopting the flash mob design.

DESIGN

Flash mob study.

METHODS

On June 6 to June 7, 2023, a 24-hour flash mob study was carried out in eight Danish perioperative units. Eligible for inclusion were adult patients scheduled for elective or acute surgery. After giving informed consent, patients answered two qualitative questions: what mattered to them on the day of surgery, and whether the staff were aware of this. Data were analyzed using content analysis. Patient characteristics were presented using descriptive statistics.

FINDINGS

Patients expressed a need to feel safe and cared for, be informed, and to receive proper anesthesia and postoperative care. Twenty-nine percent had not told health care staff, most often because they had not been asked about what mattered to them and because they did not want to be a nuisance.

CONCLUSIONS

The flash mob study was feasible and provided insight into patients' perspectives on the day of surgery. To gain insight into what matters on the day of surgery, health care professionals must actively ask patients. Furthermore, the flash mob proved to be an opportunity to create attention to what matters to patients on the day of surgery.

摘要

目的

探讨手术当天对患者而言重要的事项,描述在围手术期环境中开展快闪活动研究的方式,并为未来采用快闪活动设计的研究提供建议。

设计

快闪活动研究。

方法

2023年6月6日至7日,在丹麦的八个围手术期科室开展了一项为期24小时的快闪活动研究。纳入对象为计划接受择期或急症手术的成年患者。在获得知情同意后,患者回答了两个定性问题:手术当天对他们而言重要的事项,以及工作人员是否意识到这一点。采用内容分析法对数据进行分析。使用描述性统计呈现患者特征。

结果

患者表示需要感到安全和得到照料、获得信息,并接受适当的麻醉和术后护理。29%的患者未告知医护人员,最常见的原因是他们未被问及对自己而言重要的事项,以及他们不想添麻烦。

结论

快闪活动研究是可行的,并提供了对患者手术当天观点的洞察。为了深入了解手术当天重要的事项,医护专业人员必须积极询问患者。此外,快闪活动被证明是一个引起对患者手术当天重要事项关注的契机。

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