肛肠疾病日间手术前患者等待体验质性研究

A qualitative study of the preoperative waiting experience of patients undergoing day surgery for anorectal diseases

目的探讨肛肠疾病日间手术前患者等待期间的经历,获得患者对日间手术的态度、入院流程体验及其需求。方法采用目的抽样法选取2023-04—2023-05在河南省某三级甲等医院13例预约日间手术的肛肠疾病患者进行半结构式访谈,采用Colaizzi七步法对访谈资料进行分析、归纳、提炼主题。结果肛肠疾病日间手术患者的术前等待体验可以被提炼为三个主题:(1)术前信息告知不充分。(2)寻求症状管理。(3)家庭-社会支持需求。结论肛肠疾病日间手术患者对日间手术模式了解较少,在术前等待过程中,应增加日间手术单元的护士参与。重视患者疾病相关症状的评估,关注日间手术患者家庭-社会支持需求,并为其提供相应支持。

Objective To explore the experiences of patients with day surgery for anorectal diseases during the preoperative waiting period,to obtain patients'attitudes towards day surgery,their experience of the admission process and their needs,and to provide a reference for the optimization of the appointment process for day surgery and the establishment of a standardized clinical pathway process for day surgery for anorectal diseases.Methods This study is a descriptive qualitative study based on phenomenology.Purposive sampling method was used to select 13 patients with anal and intestinal diseases who underwent day surgery in a tertiary-level hospital in Henan Province from April 2023 to May 2023 for semi-structured interviews,and Colaizzi's seven-step method was used to analyze and summarize the interview data to refine the themes.Results The preoperative waiting experience of patients undergoing day surgery for anal diseases could be distilled into three themes:(1)inadequate preoperative information(2)seeking symptom management;and(3)family-social support needs.Conclusion Patients undergoing day surgery for intestinal diseases know less about the day surgery procedure,and the involvement of nurses in the day surgery unit should be increased during the preoperative waiting process;emphasis should be placed on the assessment of patients'disease-related symptoms;and attention should be paid to the family-social support needs of patients undergoing day surgery,and appropriate support should be provided to them.