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本文引用的文献

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Role of jargon in the patient-doctor communication in the dental healthcare sector-A systematic review and meta-analysis.行话在牙科保健领域医患沟通中的作用——一项系统综述与荟萃分析
J Educ Health Promot. 2023 Jun 30;12:198. doi: 10.4103/jehp.jehp_1442_22. eCollection 2023.
2
Value of patient decision aids for shared decision-making in kidney failure.患者决策辅助工具在肾衰竭中的共享决策价值。
J Ren Care. 2024 Mar;50(1):15-23. doi: 10.1111/jorc.12468. Epub 2023 May 22.
3
Quality of life in early-onset colorectal cancer patients: systematic review.早发性结直肠癌患者的生活质量:系统评价。
BJS Open. 2023 May 5;7(3). doi: 10.1093/bjsopen/zrad030.
4
The Effectiveness of Peer Support in Personal and Clinical Recovery: Systematic Review and Meta-Analysis.同伴支持在个人和临床康复中的有效性:系统评价和荟萃分析。
Psychiatr Serv. 2023 Aug 1;74(8):847-858. doi: 10.1176/appi.ps.202100138. Epub 2023 Feb 8.
5
Fast-track surgery nursing intervention in CRC patients with laparotomy and laparoscopic surgery.快速康复外科护理干预在开腹手术和腹腔镜手术的 CRC 患者中的应用。
Medicine (Baltimore). 2022 Sep 16;101(37):e30603. doi: 10.1097/MD.0000000000030603.
6
Evaluating the feasibility of a web-based discharge education programme to improve general surgical patients' postdischarge recovery: a pilot randomised controlled trial.评估基于网络的出院教育计划提高普通外科患者出院后康复效果的可行性:一项试点随机对照试验。
BMJ Open. 2022 Feb 9;12(2):e054038. doi: 10.1136/bmjopen-2021-054038.
7
Patient involvement in medical decisions: a survey of shared decision making during physical therapy consultations.患者参与医疗决策:物理治疗咨询期间共同决策的调查
Physiother Theory Pract. 2023 Apr;39(4):878-886. doi: 10.1080/09593985.2022.2029653. Epub 2022 Jan 24.
8
Trajectories of health-related quality of life and psychological distress in patients with colorectal cancer: A population-based study.结直肠癌患者健康相关生活质量和心理困扰的轨迹:一项基于人群的研究。
Eur J Cancer. 2021 Oct 16;158:144-155. doi: 10.1016/j.ejca.2021.08.050.
9
Multimedia in preoperative patient education for adults undergoing cancer surgery: A systematic review.成人癌症手术患者术前教育的多媒体:系统评价。
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10
Improving Health Literacy Responsiveness: A Randomized Study on the Uptake of Brochures on Doctor-Patient Communication in Primary Health Care Waiting Rooms.提高健康素养响应能力:在初级医疗保健候诊室中使用医患沟通手册的随机研究。
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对接受快速康复外科手术的结直肠癌患者围手术期主观体验的质性探索。

A qualitative exploration of perioperative subjective experiences of colorectal cancer patients undergoing fast-track surgery.

作者信息

Zou Meng, Xu Jia, Chen Fang, Wang Na, Long Shutong, Wu Haibin, Wang Wei, Zhang Xiaoting, Zeng Chunli, Chen Li, Zhang Lan, Zhang Xu

机构信息

General Surgery Department, Shenzhen Bao'an District Songgang People's Hospital, Shenzhen, Guangdong Province, China.

Brain and Mind Sciences, University of Sydney, Sydney, Australia.

出版信息

Sci Rep. 2024 Dec 28;14(1):30721. doi: 10.1038/s41598-024-79944-5.

DOI:10.1038/s41598-024-79944-5
PMID:39730444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11681125/
Abstract

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.

摘要

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。