文章基本信息

标题：After colonic surgery: The lived experience of participating in a fast-track programme
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作者：Annelise Norlyk ; Ingegerd Harder
期刊名称：International Journal of Qualitative Studies on Health and Well-being
电子版ISSN：1748-2631
出版年度：2009
卷号：4
期号：3
页码：170-180
DOI：10.3402/qhw.v4i3.5013
语种：English
出版社：Taylor & Francis
摘要：Postoperative recovery can be accelerated and hospitalization reduced through fast-track programmes. However, documented knowledge is limited and primarily focusing on a medical perspective whereas the patients' perspective lacks documentation. This study describes the lived experience of participating in a fast-track programme after colonic surgery. Sixteen patients were interviewed twice. The interviews were analysed using a descriptive phenomenological approach. Participating in a fast-track programme is characterized by a process where patients experience how the daily regimen works both with them and against them. To succeed in the overall goal of recovering fast according to the evidence-based care plan involves facing dilemmas and mobilizing courage and will to follow the regimen. Support from the professionals is crucial. The participants had a strong desire to comply and regain health; but this role of being a good and cooperative patient had a built-in asymmetric power relationship favouring the professionals' expectations. The complexities of this power relationship were related to both patient factors and contextual factors, e.g. the daily regimen and hospital norms. Although patient participation in care is an accepted ideal, it is demanding and difficult to accomplish. More studies on fasttrack programmes are needed, with special attention to patient autonomy and partnership. Key words: Colonic surgery, fast-track recovery, patient perspective, caring science, phenomenology, patient participation