Patients' Need for Information Prior to Colonic Surgery

Abstract

Perioperative information and communication between patients and health professionals is central to the quality of care and patient involvement for elective colon surgery. Enhanced recovery after surgery (ERAS) means that the care process is accelerated with comprehensive information and additional requirements on an individual. The purpose of this study was to identify nurses' and doctors' experience of patients' need for information before intraoperative care. Nurses (n = 39) with different specialties and professional experience were interviewed in focus groups. Ten anesthesiologists with differing professional experience were interviewed individually. Data were analyzed with qualitative content analysis. The result shows the need to provide information to reduce anxiety, to make the patient feel safe, to explain postoperative pain management, and to provide a comprehensive care pathway. There was no difference between the informants' perception of patients' information needs. All respondents agreed that patients generally have a great need for information. The perioperative information should be repeated at different points in time. The patients' need for information on diagnosis is recurrent. Knowledge, good communication, and attitude from a multiprofessional perspective support the patient's feeling comfortable and involved in the care prior to surgery.

The Importance of Written and Verbal Information on Pain Treatment for Patients Undergoing Surgical Interventions

“…The information should be balanced so as not to be excessive or perceived as threatening (Garbee & Gentry, 2001). It should also be adapted to each individual patient's needs, because patients' prior knowledge differs (Sjostedt, Hellstrom, & Stomberg, 2011). The patients in our study perceived the oral information they received before the operation as very positive because it was a face-to-face meeting and they could ask questions, a view shared by patients in the study by Aquilina and Baldacchino (2007).…”

“…Health care professionals risk underestimating patients' pain if no assessment is carried out (Ene, Nordberg, Bergh, Johansson, & Sjostrom, 2008;Gunningberg & Idvall, 2007;Sloman, Rosen, Rom, & Shir, 2005).…”

Premedication and preoperative information reduces pain intensity and increases satisfaction in patients undergoing ablation for atrial fibrillation. A randomised controlled study

“…Patients who receive information about their surgery and its implications are less anxious than those who do not receive such information (O'Brien, McKeough, & Abbasi, 2013). A qualitative study found that patients' need for information about their diagnosis is recurrent (Sjostedt, Hellstrom, & Stomberg, 2011). However, knowledge, good communication, and a multiprofessional perspective help patients feel comfortable and involved in the care prior to surgery (Sjostedt et al, 2011).…”

“…A qualitative study found that patients' need for information about their diagnosis is recurrent (Sjostedt, Hellstrom, & Stomberg, 2011). However, knowledge, good communication, and a multiprofessional perspective help patients feel comfortable and involved in the care prior to surgery (Sjostedt et al, 2011).…”

Patients With Primary Total Hip Arthroplasty: Feelings Experienced

“…Diante disso, informações sobre a cirurgia, o tempo de duração, extensão, tipo de anestesia e experiência da dor tornam-se de extrema importância nesse momento. 5,11 Orientações pré-operatórias e a comunicação entre os pacientes e equipe multiprofissional constituem uma ação terapêutica relevante e essencial para o cuidado, mostrando-se efetiva na redução da ansiedade, proporcionando mais segurança e envolvimento do paciente antes da cirurgia, 12 podendo ser determinante no processo de recuperação e tão importante quanto a realização dos procedimentos técnicos. 13 A justificativa para estudar a temática surgiu devido à atuação profissional na área de Ortopedia e Traumatologia, o que permitiu a observação e identificação dos problemas vivenciados, principalmente relacionados às limitações impostas pelo procedimento cirúrgico e às dúvidas na fase pré e pós-operatória, tais como: atividades diárias, atividade física, locomoção, infecções, medo da cirurgia, higiene pessoal, restrição ao leito.…”