Behaviours of older adults and caregivers preparing for elective surgery: a virtually conducted mixed-methods research protocol to improve surgical outcomes.
Behaviours of older adults and caregivers preparing for elective surgery: a virtually conducted mixed-methods research protocol to improve surgical outcomes.
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老年人和照顾者为择期手术所做的准备行为：一项旨在改善手术结果的虚拟混合方法研究方案
DOI：
10.1136/bmjopen-2020-048299
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发表时间：
2021-10-18
期刊：
影响因子：
2.9
通讯作者：
DeJonckheere M
中科院分区：
文献类型：
--
作者：
Norcott A;Chan CL;Nyquist L;Bynum JP;Min L;Fetters MD;DeJonckheere M
老年人（年龄≥65岁）正在接受越来越复杂的择期手术，并且术中及术后并发症的风险更高。患者及其照顾者经常在家中艰难应对术后恢复过程，这可能会导致并发症。我们的目的是通过了解老年人及其照顾者在复杂择期手术前的准备行为，确定在术前进行干预以改善术后结果的机会。
由于新冠疫情，我们将通过电话和视频会议进行这项研究。采用多阶段混合方法研究设计，我们将从2020年7月1日至2021年5月30日期间计划进行择期结直肠手术的老年人（涵盖各种认知能力）群体中收集10 - 15对患者 - 照顾者的数据。我们将在手术前（T1、T2）和手术后（T3、T4）收集定量和定性数据。术前，参与者每人将完成一项认知评估以及一次聚焦于其准备行为的半结构化定性访谈（T1）。然后他们将回答有关情绪、自我效能和家庭环境的问卷（T2）。出院三周后，参与者将完成另一次定性访谈，重点是比较术前和术后的准备情况（T3）。研究人员还将在出院30天后从患者病历中收集有关患者的医疗状况、术后并发症和医疗利用情况的信息（T4）。我们将对定性数据进行编码并进行主题分析，以确定显著主题。定量数据将使用基本描述性统计进行分析，以描述参与者的特征。我们将使用定量量表的结果对参与者进行分组，并通过联合展示分析整合定性和定量研究结果。
已获得密歇根大学伦理审查委员会的伦理批准。研究结果将通过同行评审期刊和在会议上的报告进行传播。
Older adults (age ≥65 years) are pursuing increasingly complex, elective surgeries; and, are at higher risk for intraoperative and postoperative complications. Patients and their caregivers frequently struggle with the postoperative recovery process at home, which may contribute to complications. We aim to identify opportunities to intervene during the preoperative period to improve postoperative outcomes by understanding the preparatory behaviours of older adults and their caregivers before a complex, elective surgery. As a result of the COVID-19 pandemic, we will conduct this study via telephone and videoconferencing. Using a multiphase mixed-methods research design, we will collect data on 10–15 patient–caregiver dyads from a pool of older adults (across a spectrum of cognitive abilities) scheduled for an elective colorectal surgery between 1 July 2020 and 30 May 2021. We will collect quantitative and qualitative data before (T1, T2) and after (T3, T4) surgery. Preoperatively, participants will each complete a cognitive assessment and a semi-structured qualitative interview that focuses on their preparatory behaviours (T1). They will then answer questionnaires about mood, self-efficacy and home environment (T2). Three weeks following hospital discharge, participants will complete another qualitative interview focusing on a comparison of preoperative and postoperative preparedness (T3). Researchers will also collect information about the patient’s medical conditions, the postoperative complications and healthcare utilisation from the patient’s chart 30 days following discharge (T4). We will code and conduct thematic analysis of the qualitative data to identify salient themes. Quantitative data will be analysed using basic descriptive statistics to characterise the participants. We will integrate the qualitative and quantitative findings using results from the quantitative scales to group participants and with use of joint display analysis. Ethics approval was obtained from the University of Michigan IRB. Study findings will be disseminated through peer-reviewed journals and presentations at conferences.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
6.1
作者：
DeJonckheere, Melissa;Vaughn, Lisa M.
通讯作者：
Vaughn, Lisa M.
影响因子：
6.3
作者：
Gadbois EA;Tyler DA;Mor V
通讯作者：
Mor V
DOI：
10.1111/j.1532-5415.1983.tb03391.x
发表时间：
1983-01-01
影响因子：
6.3
作者：
KATZ, S
通讯作者：
KATZ, S
影响因子：
5.4
作者：
Lobe, Bojana;Morgan, David;Hoffman, Kim A.
通讯作者：
Hoffman, Kim A.