Povezava predoperativnega informiranja pacientov z okrevanjem po artroskopiji kolka : magistrsko delo

Šašek, Nika (author), Masten, Robert (mentor), Stražar, Klemen (comentor)

Operativni posegi lahko za paciente predstavljajo stresen dogodek, zato strokovnjaki posvečajo vedno večjo pozornost tehnikam, ki bi olajšale pripravo in okrevanje pacientov. V kvantitativnem delu raziskave za magistrsko delo smo z baterijo vprašalnikov raziskovali razlike v okrevanju med udeleženci, ki so poslušali razširjeno predoperativno informiranje, in udeleženci, ki so prejeli ustaljeno obravnavo. V kvalitativnem delu smo z nekaterimi izmed njih preko polstrukturiranih intervjujev raziskovali tudi njihovo počutje in informiranost pred ter po artroskopiji kolka. Rezultati intervjuja so pokazali, da so bili v predoperativnem obdobju pacienti večinoma zadostno informirani in brez strahu, nekatere je skrbela le anestezija in neoptimalno okrevanje. V postoperativnem obdobju je bilo pri nekaterih pacientih prisotno nezadovoljstvo zaradi dolgega okrevanja, izpostavili pa so tudi potrebo po več informacijah glede zapletov in željo po postoperativnem informiranju. Rezultati vprašalnikov so pokazali, da med informirano in neinformirano skupino ni bilo razlike v znanju ali na katerem od indikatorjev okrevanja (občutenje bolečine in funkcionalne omejitve, šport in rekreacijske aktivnosti, katastrofiziranje bolečine, depresivnost in anksioznost). Pozitivno duševno zdravje, ki smo ga nadzorovali pri primerjavi skupin, se je povezovalo zgolj s težavami pri športu. Navkljub pomanjkanju razlik med skupinama, so pacienti predoperativno informiranje v intervjujih vseeno označili kot koristno, pohvalili pa so predvsem osebni stik s strokovnjakom in interaktivnost predavanja. Na podlagi izsledkov smo oblikovali tudi smernice za nadaljnje informiranje pacientov. Ker je na izvedbo naše raziskave vplivala tudi epidemija COVID-19, bi bilo v prihodnje pri tovrstnem raziskovanju predoperativnega informiranja in drugih tehnik potrebno poskrbeti za večji numerus in zagotoviti bolj strogo izvedbo meritev. Priporočljivo bi bilo tudi merjenje kritičnih lastnosti pacienta in oblikovanje usmerjenih intervenc.

• Language: Slovenian
• Keywords: predoperativno informiranje, artroskopija kolka, okrevanje, depresivnost, anksioznost
• Work type: Master's thesis/paper
• Typology: 2.09 - Master's Thesis
• Organization: FF - Faculty of Arts
• Place of publishing: Ljubljana
• Publisher: [N. Šašek]
• Year: 2023
• Number of pages: 69 str.
• PID: 20.500.12556/RUL-152412
• UDC: 159.97:616.7:617.581(043.2)
• COBISS.SI-ID: 185766147
• Publication date in RUL: 24.11.2023

Secondary language

• Language: English
• Title: The relationship between preoperative informing of patients and their recovery after hip arthroscopy

Abstract

Operative medical procedures can be a source of stress for patients and therefore a lot of attention has been focused on techniques that have the potential to make preparation and recovery of patients easier. In the quantitative part of our research we used a battery of questionnaires to explore the differences in recovery between participants that listened to our extended preoperative informing, and participants that received usual preoperative care. In the qualitative part, we used semi-structured interviews to gain insight about the experience and informedness of patients before and after their hip arthroscopy. The results of the interview revealed that during the preoperative stage, the patients were mostly well informed and had mostly no fear, with the exception of anesthesia and incomplete recovery. During postoperative stage some of the participants expressed dissatisfaction due to their long recovery, and wished for more information on postoperative complications. The results of the questionnaires revealed no differences between the informed and uninformed group neither in knowledge nor in different aspects of recovery (pain sensation and functional limitations, sport and recreational activities, pain catastrophizing, depression and anxiety). Positive mental health, which was used as a covariate in the comparison of the groups, was significantly correlated only to the aspect of sport and recreational activities. Even though there were no differences in recovery between the two groups, our participants thought of preoperative informing as beneficial and said its biggest strong point was contact with the surgeon and the interactivity of the lecture. Based on our findings we developed guidelines for further informing of the patients. Our research was gravely affected by the COVID-19 epidemic, and therefore further research of preoperative informing and other interventions should ensure a bigger numerus of participants and more rigorous methodology. We also recommend measuring the characteristics that could be critical for recovery and implementation of targeted interventions.

• Keywords: preoperative informing, hip arthroscopy, recovery, depression, anxiety