Exploring the care experience of patients undergoing spinal surgery: a qualitative study

被引:27
作者
Davis, Rachel E. [1 ]
Vincent, Charles
Henley, Ania [2 ]
McGregor, Alison [2 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Clin Safety Res Unit, Dept Surg & Canc, St Marys Hosp,QEQM, London W2 1NY, England
[2] Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, Charing Cross Hosp, London W2 1NY, England
关键词
patient education; patient experience; patient involvement; patient perspective; patient safety; service quality; LOW-BACK-PAIN; NERVE ROOT COMPRESSION; SURGICAL-MANAGEMENT; LUMBAR SPINE; INFORMATION; EXPECTATIONS; STENOSIS; SATISFACTION; DECOMPRESSION; PERCEPTIONS;
D O I
10.1111/j.1365-2753.2011.01783.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose This exploratory study sought to explore the patient experience of the surgical journey from decision to operate, to hospitalization, discharge and subsequent recovery. Design Patients attended one of two focus group discussions. Patient sample Seven patients that had undergone surgery for spinal stenosis or disc prolapsed participated, aged between 4875 years (mean age 59); five were male. Methods Patients attitudes towards the information and care they received from the point of the decision to operate through to post-operative recovery were explored. Particular attention was paid to patients information needs, support provided, general understanding of the processes and ways in which care could have been improved. Results Patients identified nine main needs they felt played an integral part in enhancing the patient experience including the need for reduced waiting times, for better information and preparation, to be proactive, to speak up and ask questions, to feel safe and to be treated with dignity and respect; and the need for ongoing support, human contact, and; continuity of care. Conclusion These findings suggest that there are several measures that could be taken to improve the patient's surgical experience. In particular, providing appropriate information to patients in a timely manner and ensuring that support and advice is easily accessible for those patients that need it are key areas for improvement.
引用
收藏
页码:132 / 138
页数:7
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