Burke C C, Zabka C L, McCarver K J, Singletary S E
Sarcoma Center, University of Texas M. D. Anderson Cancer Center in Houston, USA.
Oncol Nurs Forum. 1997 May;24(4):645-51.
PURPOSE/OBJECTIVES: To determine what problems patients undergoing breast cancer surgery experienced following discharge after participating in a 23-hour short-stay observation program and to explore their perceptions of the short-stay experience.
Descriptive and exploratory.
A comprehensive cancer center in an urban setting.
52 women undergoing modified radical mastectomy, segmental mastectomy (lumpectomy) with axillary node dissection, simple mastectomy, or other breast procedures.
Telephone interviews 24-72 hours and 7-10 days after discharge using questionnaires developed by the investigators.
Postoperative difficulties, satisfaction with pain relief, positive and negative aspects of the short-stay process, and discharge to home.
Most patients had no difficulty with drain and incision care (84%), reported satisfactory analgesic relief with their prescribed medications (> 95%), and were prepared to leave the hospital on first postoperative day (85%). Patient education and care provided by physicians and nurses were highly rated. Although most responses were highly favorable, some women desired longer hospitalization (21%) and greater privacy while on the observation unit (13%).
By coordinating inpatient and outpatient services, short-stay observation following breast cancer surgery can be accomplished in a safe environment that patients perceive to be satisfactory and of high quality.
Short-stay observation is feasible for appropriately prepared postoperative patients who normally are managed on traditional impatient units.
目的/目标：确定参与23小时短期观察项目后出院的乳腺癌手术患者经历了哪些问题，并探讨他们对短期住院体验的看法。
描述性和探索性。
城市环境中的一家综合癌症中心。
52名接受改良根治性乳房切除术、保乳手术（乳房肿瘤切除术）加腋窝淋巴结清扫术、单纯乳房切除术或其他乳房手术的女性。
出院后24 - 72小时和7 - 10天进行电话访谈，使用研究人员编制的问卷。
术后困难、对疼痛缓解的满意度、短期住院过程的积极和消极方面以及出院回家情况。
大多数患者在引流管和切口护理方面没有困难（84%），报告称所开药物的镇痛效果令人满意（> 95%），并且准备在术后第一天出院（85%）。医生和护士提供的患者教育和护理得到高度评价。尽管大多数反馈非常积极，但一些女性希望住院时间更长（21%），并且在观察病房时希望有更多隐私（13%）。
通过协调住院和门诊服务，乳腺癌手术后的短期观察可以在一个患者认为令人满意且质量高的安全环境中完成。
短期观察对于通常在传统住院病房接受治疗的术后准备充分的患者是可行的。
