患者和护理人员对垂体手术后液体排出规程的看法

IF 4.2 Q1 ENDOCRINOLOGY & METABOLISM
Julia J. Chang , Alexis Amano , Cati Brown-Johnson , Olivia Chu , Victoria Gates-Bazarbay , Erin Wipff , Samantha M.R. Kling , Mohamed Alhadha , Juan Carlos Fernandez-Miranda , Stacie Vilendrer
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引用次数: 0

摘要

背景垂体瘤经蝶窦手术(TSS)术后限制液体摄入可有效预防延迟性低钠血症,这是最常见的再入院原因。然而,出院后实施个体化的液体限制干预措施通常比较复杂,给医疗服务提供者和患者带来了挑战。本研究旨在了解在 TSS 术后成功实施液体限制和出院护理方案的必要因素。方法在 TSS 术后就液体出院方案对 15 名患者和 4 名护理人员进行了半结构式访谈。访谈对象包括在实施最新出院方案之前和之后进行手术的患者和护理人员。结果大多数患者和护理人员认为限制输液协议是可以接受的,并且在需要时是可行的。协议的促进因素包括关于限制输液的目的和策略的明确沟通、与护理团队的联系以及患者护理人员参与护理讨论。障碍包括患者对不同团队之间护理计划的差异感到困惑、限制输液造成的身体不适、增加恢复期间追踪输液的负担以及去氨加压素处方的不明确性。这项评估强调了患者参与和反馈对于有效制定和实施复杂的临床干预措施的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient and caregiver perspectives of fluid discharge protocols following pituitary surgery

Background

Post-operative fluid restriction after transsphenoidal surgery (TSS) for pituitary tumors may effectively prevent delayed hyponatremia, the most common cause of readmission. However, implementation of individualized fluid restriction interventions after discharge is often complex and poses challenges for provider and patient. The purpose of this study was to understand the factors necessary for successful implementation of fluid restriction and discharge care protocols following TSS.

Methods

Semi-structured interviews with fifteen patients and four caregivers on fluid discharge protocols were conducted following TSS. Patients and caregivers who had surgery before and after the implementation of updated discharge protocols were interviewed. Data were analyzed inductively using a procedure informed by rapid and thematic analysis.

Results

Most patients and caregivers perceived fluid restriction protocols as acceptable and feasible when indicated. Facilitators to the protocols included clear communication about the purpose of and strategies for fluid restriction, access to the care team, and involvement of patients’ caregivers in care discussions. Barriers included patient confusion about differences in the care plan between teams, physical discomfort of fluid restriction, increased burden of tracking fluids during recovery, and lack of clarity surrounding desmopressin prescriptions.1

Conclusion

Outpatient fluid restriction protocols are a feasible intervention following pituitary surgery but requires frequent patient communication and education. This evaluation highlights the importance of patient engagement and feedback to effectively develop and implement complex clinical interventions.

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来源期刊
CiteScore
6.10
自引率
0.00%
发文量
24
审稿时长
16 weeks
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