Steane Auden, Singh Hardeep, Orchanian-Cheff Ani, Chadi Sami A, Okrainec Karen
Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, Toronto, Ontario, Canada.
BMJ Open. 2024 Dec 10;14(12):e083332. doi: 10.1136/bmjopen-2023-083332.
Despite advances in innovation to improve patients' transition experiences, it is unclear-in the context of colorectal surgery-what elements of patient education and care could provide the greatest benefit to patient experiences and clinical outcomes. Thus, this scoping review protocol aims to outline a plan to synthesise the existing literature from countries with publicly funded health systems (ie, Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, the United Kingdom and the USA) on the challenges experienced by colorectal surgery patients' when transitioning home from the hospital.
This is a protocol for a scoping review to identify literature relating to adult patient challenges experienced when transitioning from hospital to home following colorectal surgery. We will search the following databases for studies published between 2012 and present: Ovid MEDLINE; Ovid Embase; Cochrane Database of Systematic Reviews (Ovid) and Cochrane Central Register of Controlled Trials (Ovid). Title, abstract and full-text review will be conducted independently by at least two reviewers. Data will be extracted, collated, summarised and reported numerically (eg, frequency counts) and presented using descriptive summaries. In addition, data related to the challenges reported by colorectal surgery patients during their transition home from the hospital will be descriptively analysed using deductive content analysis. The extracted challenges will be categorised according to the International Classification of Functioning, Disability and Health and the surgical transition trajectory (eg, predischarge, during discharge and postdischarge) to identify when in the patient journey is the best point to implement improved practices and achieve patient-centred care.
This protocol does not require ethics approval as data have not been collected or analysed. The findings will highlight insights into patient care transitions following colorectal surgery, which will be disseminated via publications and presentations.
尽管在创新方面取得了进展以改善患者的过渡体验，但在结直肠手术的背景下，尚不清楚患者教育和护理的哪些要素能为患者体验和临床结果带来最大益处。因此，本范围综述方案旨在概述一项计划，以综合来自具有公共资助卫生系统的国家（即澳大利亚、加拿大、法国、德国、荷兰、新西兰、瑞典、英国和美国）的现有文献，探讨结直肠手术患者从医院过渡回家时所经历的挑战。
这是一项范围综述方案，旨在识别与结直肠手术后从医院过渡到家中的成年患者所经历的挑战相关的文献。我们将在以下数据库中搜索2012年至今发表的研究：Ovid MEDLINE；Ovid Embase；Cochrane系统评价数据库（Ovid）和Cochrane对照试验中心注册库（Ovid）。标题、摘要和全文审查将由至少两名评审员独立进行。数据将被提取、整理、汇总并以数字形式报告（如频数计数），并使用描述性摘要呈现。此外，将使用演绎性内容分析法对与结直肠手术患者从医院过渡回家期间报告的挑战相关的数据进行描述性分析。提取的挑战将根据《国际功能、残疾和健康分类》以及手术过渡轨迹（如出院前、出院期间和出院后）进行分类，以确定在患者就医过程中的哪个最佳点实施改进措施并实现以患者为中心的护理。
本方案不需要伦理批准，因为尚未收集或分析数据。研究结果将突出对结直肠手术后患者护理过渡的见解，这些见解将通过出版物和报告进行传播。
