Kleinbeck S V, Hoffart N
University of Kansas Medical Center, Kansas City.
AORN J. 1994 Sep;60(3):394, 397-8, 401-2. doi: 10.1016/s0001-2092(07)62774-4.
Economic incentives and technologic advances have encouraged health care providers to shift an increasing portion of postoperative care out of the hospital. Selected patients undergo complex outpatient surgical procedures and are discharged within 24 hours of surgery. Because this trend is relatively new, published accounts of patients' experiences with at-home recovery are rare. Consequently, the authors conducted a qualitative study of 19 patients who underwent laparoscopic cholecystectomy procedures on an outpatient basis. Using semistructured postoperative telephone interviews, the authors monitored the patients' recovery processes. One theme (ie, toward a usual self) with two patterns (ie, progressive activity, self-management) emerged. The results reveal patients' definitions of recovery, understanding of postoperative instructions, willingness to ask questions, and advice for patients undergoing similar procedures. Nursing implications for discharge instructions and follow-up care also are discussed.
经济激励措施和技术进步促使医疗保健提供者将越来越多的术后护理工作从医院转移到院外。部分患者接受复杂的门诊外科手术，并在术后24小时内出院。由于这一趋势相对较新，关于患者居家康复经历的公开报道很少。因此，作者对19例接受门诊腹腔镜胆囊切除术的患者进行了一项定性研究。作者通过术后半结构化电话访谈，监测患者的康复过程。出现了一个主题（即恢复到平常的自我）和两种模式（即渐进性活动、自我管理）。研究结果揭示了患者对康复的定义、对术后指导的理解、提问的意愿以及对接受类似手术患者的建议。还讨论了出院指导和后续护理的护理意义。
