Post-discharge symptoms following fast-track colonic cancer surgery: a phenomenological hermeneutic study

被引:14
作者
Krogsgaard, Marianne [1 ]
Dreyer, Pia [2 ,3 ]
Egerod, Ingrid [4 ,5 ]
Jarden, Mary [6 ]
机构
[1] Copenhagen Univ Hosp, Bispebjerg Hosp, Digest Dis Ctr, DK-2400 Copenhagen NV, Denmark
[2] Aarhus Univ, Fac Hlth, DK-8000 Aarhus, Denmark
[3] Aarhus Univ Hosp, Dept Anesthesia & Intens Care Med, DK-8000 Aarhus, Denmark
[4] Univ Copenhagen, Fac Hlth & Med Sci, DK-2100 Copenhagen, Denmark
[5] Rigshosp, Copenhagen Univ Hosp, Ctr Trauma, DK-2100 Copenhagen, Denmark
[6] Rigshosp, Univ Hosp Ctr Hlth Res, DK-2200 Copenhagen N, Denmark
来源
SPRINGERPLUS | 2014年 / 3卷
关键词
Colonic cancer; Early discharge; Fast-track programme; Nursing; Postoperative recovery; Qualitative research; Symptom management; ENHANCED RECOVERY; MULTIMODAL REHABILITATION; COLORECTAL-CANCER; EXPERIENCES; CARE; HEALTH; LIFE;
D O I
10.1186/2193-1801-3-276
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objective: To obtain knowledge of patients' experiences of postoperative symptoms during the initial two weeks following fast-track colonic cancer surgery. Method: Semi-structured in-depth interviews with seven colonic cancer patients two weeks post hospital discharge. Analysis was performed using a phenomenological hermeneutical approach. Results: During the first two weeks after discharge the patients experienced unfamiliar symptoms that affected their everyday lives. Despite distressing symptoms, they applied a "wait-and-see" strategy, and only reacted when symptoms became intolerable. The patients failed to report their unfamiliar symptoms during hospital nurse follow-up telephone call. While waiting for the final histology patients suffered loss of sleep and chaotic thinking, and experienced ambiguity of hoping for the best and expecting the worst. Conclusion: Although fast-track surgery programmes lead to shorter hospitalisation and improved physical performance, post-colonic surgery patients experience various symptoms after discharge. Healthcare professionals need to address symptoms that might have immediate and long-term consequences on patients' everyday life. Follow-up studies are encouraged to explore the patient perspective to identify the needs of individual patients after hospital discharge.
引用
收藏
页码:1 / 8
页数:8
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