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Thoughts and concerns of patients at hospital discharge after lumbar spine surgery. A qualitative study.

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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]
Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Thoughts and concerns of patients at hospital discharge after lumbar spine surgery. A qualitative study.
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  Data: <searchLink fieldCode="AR" term="%22Ferrari%2C+S%2E%22">Ferrari, S.</searchLink><br /><searchLink fieldCode="AR" term="%22Cedraschi%2C+C%2E%22">Cedraschi, C.</searchLink><br /><searchLink fieldCode="AR" term="%22Mapelli%2C+N%2E%22">Mapelli, N.</searchLink><br /><searchLink fieldCode="AR" term="%22Baram%2C+A%2E%22">Baram, A.</searchLink><br /><searchLink fieldCode="AR" term="%22Costa%2C+F%2E%22">Costa, F.</searchLink><br /><searchLink fieldCode="AR" term="%22Gatti%2C+R%2E%22">Gatti, R.</searchLink><br /><searchLink fieldCode="AR" term="%22Fornari%2C+M%2E%22">Fornari, M.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Disability+%26+Rehabilitation%22">Disability & Rehabilitation</searchLink>. Dec2023, Vol. 45 Issue 24, p4048-4057. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Lumbar+vertebrae+surgery%22">Lumbar vertebrae surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Lumbar+pain%22">Lumbar pain</searchLink><br /><searchLink fieldCode="DE" term="%22Biopsychosocial+model%22">Biopsychosocial model</searchLink><br /><searchLink fieldCode="DE" term="%22Phobias%22">Phobias</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Surgical+complications%22">Surgical complications</searchLink><br /><searchLink fieldCode="DE" term="%22Fear%22">Fear</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Experience%22">Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink><br /><searchLink fieldCode="DE" term="%22Health+care+teams%22">Health care teams</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Body+movement%22">Body movement</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Content+analysis%22">Content analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Sociodemographic+factors%22">Sociodemographic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Discharge+planning%22">Discharge planning</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=174570537
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09638288.2022.2148761
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 4048
    Subjects:
      – SubjectFull: Lumbar vertebrae surgery
        Type: general
      – SubjectFull: Lumbar pain
        Type: general
      – SubjectFull: Biopsychosocial model
        Type: general
      – SubjectFull: Phobias
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Surgical complications
        Type: general
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Experience
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
      – SubjectFull: Health care teams
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Body movement
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Content analysis
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Sociodemographic factors
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Discharge planning
        Type: general
    Titles:
      – TitleFull: Thoughts and concerns of patients at hospital discharge after lumbar spine surgery. A qualitative study.
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            NameFull: Mapelli, N.
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            – D: 01
              M: 12
              Text: Dec2023
              Type: published
              Y: 2023
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              Value: 45
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