A qualitative evaluation of patients' experiences of an enhanced recovery programme for colorectal cancer
A qualitative evaluation of patients' experiences of an enhanced recovery programme for colorectal cancer
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DOI：
10.1111/j.1463-1318.2009.02104.x
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发表时间：
2010-10-01
影响因子：
3.4
通讯作者：
Kennedy, R. H.
中科院分区：
文献类型：
--
作者：
Blazeby, J. M.;Soulsby, M.;Kennedy, R. H.
目的：我们探讨了患者的意见和经验，手术结直肠癌在一个增强的恢复programme（ERP）。方法半结构化的家庭访谈出院后6周内进行了一项随机试验的参与者比较腹腔镜辅助手术与开放手术结直肠癌在ERP。访谈录音，转录和分析使用定性技术不断比较扎根theorety.Results的基础上，受访者（n = 22）有类似的基线特征和临床结果的参与者在整个试验。许多参与者很高兴能很快出院，他们认为在自己的家中改善了恢复，因为这使他们能够选择如何以及何时进行日常活动，而不是遵循医院的常规。一些参与者（n = 9）不太满意的过程中，其原因是有关的并发症，需要重新入院或需要联系一个健康的专业人士的信息后discharge.Conclusion虽然许多参与者报告的ERP的好处，该研究强调了改进的领域。特别是，与会者报告说，需要在出院后的早期更好地获得信息和专家咨询。
Aim We explored the patients' views and experiences of surgery for colorectal cancer within an enhanced recovery programme (ERP).Method Semi-structured home interviews were performed within 6 weeks of hospital discharge with participants of a randomized trial comparing laparoscopically assisted surgery with open surgery for colorectal cancer within an ERP. Interviews were tape-recorded, transcribed and analysed using qualitative techniques of constant comparison based upon grounded theory.Results Interviewees (n = 22) had similar baseline characteristics and clinical outcomes to participants in the full trial. Many participants were pleased to be discharged quickly and they considered that being in their own home-improved recovery because it allowed them to choose how and when to undertake daily activities rather than following the hospital routine. Some participants (n = 9) were less satisfied with the process, and the reasons for this were related to complications requiring readmission or needing to contact a health professional for information after discharge.Conclusion Although many participants reported benefits from an ERP, the study highlighted areas for improvement. In particular participants reported the need for better access to information and specialist advice in the early days after hospital discharge.