Zou Meng, Xu Jia, Chen Fang, Wang Na, Long Shutong, Wu Haibin, Wang Wei, Zhang Xiaoting, Zeng Chunli, Chen Li, Zhang Lan, Zhang Xu
General Surgery Department, Shenzhen Bao'an District Songgang People's Hospital, Shenzhen, Guangdong Province, China.
Brain and Mind Sciences, University of Sydney, Sydney, Australia.
Sci Rep. 2024 Dec 28;14(1):30721. doi: 10.1038/s41598-024-79944-5.
Colorectal cancer significantly impacts patient quality of life and burdens healthcare systems globally. Fast-track surgery (FTS) aims to alleviate some of these impacts by expediting recovery and reduce the physiological stress associated with traditional surgical approaches. Despite the clinical efficiency of FTS, there exists a gap in the literature concerning patients' subjective experiences during the perioperative period. This study seeks to fill that gap by qualitatively exploring the perioperative experiences of patients undergoing FTS for colorectal cancer, focusing on their emotional, psychological, and informational journeys. We purposively sampled 12 colorectal cancer patients. Data were collected through semi-structured interviews and analyzed using thematic analysis to uncover the emotional and psychological nuances of the patients' experiences. Findings revealed that patients often felt under-informed and overwhelmed, impacting their psychological preparedness and satisfaction with the surgery. Despite FTS' clinical benefits, patients reported mixed emotions post-surgery, including relief and ongoing anxiety about cancer recurrence. Our findings highlight the need for enhanced patient-centered care practices, suggesting that healthcare providers should integrate more effective preoperative education and support systems to better align clinical efficiency with patient satisfaction.
结直肠癌对患者的生活质量有重大影响,并给全球医疗系统带来负担。快速康复外科手术(FTS)旨在通过加速康复来减轻其中一些影响,并减少与传统手术方法相关的生理应激。尽管FTS具有临床有效性,但关于患者围手术期主观体验的文献仍存在空白。本研究旨在通过定性探索接受FTS治疗结直肠癌患者的围手术期体验,关注他们的情感、心理和信息历程,来填补这一空白。我们有目的地抽取了12名结直肠癌患者作为样本。通过半结构化访谈收集数据,并使用主题分析法进行分析,以揭示患者体验中的情感和心理细微差别。研究结果显示,患者常常感觉信息不足且不堪重负,这影响了他们的心理准备和对手术的满意度。尽管FTS有临床益处,但患者术后报告了复杂的情绪,包括如释重负和对癌症复发的持续焦虑。我们的研究结果凸显了加强以患者为中心的护理实践的必要性,表明医疗服务提供者应整合更有效的术前教育和支持系统,以使临床效率与患者满意度更好地契合。