Bibliographic Details
| Title: |
Thoughts and concerns of patients at hospital discharge after lumbar spine surgery. A qualitative study. |
| Authors: |
Ferrari, S., Cedraschi, C., Mapelli, N., Baram, A., Costa, F., Gatti, R., Fornari, M. |
| Source: |
Disability & Rehabilitation. Dec2023, Vol. 45 Issue 24, p4048-4057. 10p. |
| Subjects: |
Lumbar vertebrae surgery, Lumbar pain, Biopsychosocial model, Phobias, Research methodology, Interviewing, Surgical complications, Fear, Patients' attitudes, Experience, Qualitative research, Conceptual structures, Health care teams, Questionnaires, Body movement, Descriptive statistics, Content analysis, Thematic analysis, Sociodemographic factors, Anxiety, Discharge planning |
| Abstract: |
Purpose: The increased rate of surgical interventions point to the necessity to investigate the patient's experience from a biopsychosocial perspective. The aim of this study was to investigate the thoughts and concerns of patients undergoing spinal surgery for lumbar degenerative disease at the time of their discharge from hospital. Methods: Semi-structured interviews were conducted with 28 patients. The questions investigated possible concerns associated to discharging them home. A content analysis was performed by a multidisciplinary group to identify the main themes that emerged from the interviews. Results: The patients were satisfied with the surgeons' preoperative explanations and description of expected prognosis. However, they were disappointed with the lack of information at hospital discharge, in particular regarding practical and behavioral recommendations. The patients expressed clear concerns about being left alone to deal with possible complications or difficulties they may encounter when returning home. Conclusion: This study underlined the patients' need for a comprehensive psychological guidance and possibly a person of reference during the post-operative process. Discussing discharge with the patient was emphasized as an important issue to improve patients' compliance to the recovery process itself. Putting these elements into practice should help spine surgeons to manage better hospital discharge. [ABSTRACT FROM AUTHOR] |
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| Database: |
Psychology and Behavioral Sciences Collection |
