摘要
目的了解加速康复外科(ERAS)胃癌患者出院体验,为完善ERAS围术期和延续性护理方案提供参考依据。方法应用质性研究中的现象学研究方法 ,对15例ERAS胃癌患者进行面对面及电话访谈,并进行资料分析。结果得出3个主题:(1)明确的康复目标和计划;(2)期望出院,但存在角色冲突和依赖心理;(3)院外应对无力,渴望得到支持;(4)积极应对,保持乐观心态。结论充分评估患者出院准备,确保有效的医护患沟通,提供个体化指导;同时建立专业化的延续性护理体系等,以改善患者早期出院体验。
Objective To investigate the gastric cancer patients’ pre-and postoperative experi-ence on discharge when participating in enhanced recovery after surgery （ERAS） and perence and basis for improving surgical nursing and continuity care programmes. Methods Thephenomenological methodology was applied to face-to-face and telephone interviews with 15 pa-tients with gastric cancer. Results Four themes were extracted, including clear rehabilitationgoals and plans ; expected to discharge,but ttie existence of role conflict and dependence on psy-chology; outside the hospital to cope witli the weak,eager to get support; positive response, maintain optimistic mentality. Conclusion It is required to fully assess the patients ＂dischargepreparation and to ensure effective communication between healthcare system and patients, it is al-so important to provide individualized guidance and establishi a professional continuity care system to improve the patientsfarly discharge experience.
出处
《中西医结合护理（中英文）》
2017年第12期11-14,共4页
Journal of Clinical Nursing in Practice
基金
江苏省重点病种规范化诊疗项目(BE2015687)
关键词
加速康复外科
胃癌
出院体验
质性研究
enhanced recovery after surgery
gastric cancer
discharge experience
qualitative research
