Lived experience, enhanced recovery and laparoscopic colonic resection.
Lived experience, enhanced recovery and laparoscopic colonic resection.
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DOI：
10.12968/bjon.2015.24.4.223
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发表时间：
2015-02-01
期刊：
影响因子：
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通讯作者：
Taylor, Claire
中科院分区：
文献类型：
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作者：
Fecher-Jones, Imogen;Taylor, Claire
目的：探讨患者的生活经验，接受腹腔镜结肠切除术的增强recovery programme.METHOD：11例患者在家中接受了采访，出院后14至16天。转录的采访文本进行了解释学现象学的方法。调查结果：参与者热衷于实现自己的目标，积极参与增强恢复计划。他们努力在手术后尽快恢复健康，但所有参与者都表示这比他们预期的要长。随着他们在住院期间对自我护理需求变得更加独立，参与者注意到护理人员的存在变得更加遥远，这可能导致未满足的心理需求。他们在家里的恢复被认为需要比应该的更长的时间，并且经常因症状而延长。微创方法与腹腔镜手术导致参与者期望一个较小的身体和心理的影响，从这个大surgery.CONCLUSION：护士需要承认和照顾，不仅是身体上的，但也对病人的情感需求的增强恢复方案，直到出院。护士还需要让病人更充分地准备出院后的情况。
AIM: To explore patients' lived experience of undergoing laparoscopic colonic resection on an enhanced recovery programme.METHOD: Eleven patients were interviewed at home, between 14 and 16 days following discharge. The transcribed interview texts were interpreted with a hermeneutical-phenomenological method.FINDINGS: Participants were keen to achieve their goals and participate actively in the enhanced recovery programme. They strived to return to full health as soon as possible after surgery, but all participants indicated that it was taking longer than they had expected. As they became more independent regarding their self-care needs during their hospital stay, participants noticed that the nursing presence became more distant, which could result in unmet psychological needs. Their recovery at home was perceived to be taking longer than it should and was often prolonged by symptoms. The minimally invasive approach associated with laparoscopic surgery led the participants to expect a lesser physical and psychological effect from this major surgery.CONCLUSION: Nurses need to acknowledge and attend not only to the physical but also to the emotional needs of patients on an enhanced recovery programme, right up until the point of discharge. Nurses also need to prepare patients more fully for what to expect after discharge.