INFORMATION NEEDS OF DIGESTIVE TRACT SURGERY PATIENTS BEFORE AND AFTER THE SURGERY: AN EXPLORATORY STUDY OF WESTERN LITHUANIA
Keywords:digestive tract surgery, information needs, patients’ education
The aim of this study was to describe the information needs of patients undergoing gastrointestinal surgery in Western Lithuania. Methods. This data were collected from patients of three Klaipeda city hospitals performing digestive tract surgeries in January – March 2015. The interview responses (n = 86) were analyzed inductively with thematic content analysis. Results. The interview revealed lack of information about disease, treatment and nursing care. The participants expressed fear and worries about their forthcoming surgery, anesthesia, pain, the ways of pain management, possible complications and their prevention as well as the future concerning their disease in general. Conclusions. The results show that the participants had not got enough information about treatment, nursing, anesthesia, rehabilitation, wound care or about post-surgery period. Instead they felt fear and anxiety. The participants were not included into treatment and nursing processes. According to the participants’ responses, the information needs were different before and after the surgery. Lack of information prevents patients from acting self-dependently in their care. Practice implications. Patient oriented approach to patient education and innovative ways of information delivery are needed in Lithuanian nursing care of patient’s having a gastrointestinal surgery.
Bernard, H.R. (2012). Social Research Methods: Qualitative and Quantitative Approaches. SAGE Publications
Conceição, E.M., Utzinger, L.M., Pisetsky, E.M. (2015). Eating Disorders and Problematic Eating Behaviours before and after Bariatric Surgery: Characterization, Assessment and Association with Treatment Outcomes. European Eating Disorders Review, 23(6), 417–425.
Creswell, J.W. (2013). Qualitative inquiry & research design: Choosing among five approaches. Los Angeles: SAGE Publications.
Laverty, A.A., Dixon, A., Millett, Ch. (2015). Do Patients’ Information Requirements for Choice in Health Care Vary with Their Socio-Demographic Characteristics? Health Expectations, 18(5), 1127–1138.
Papadakos, J. et al. (2015). Informational Needs of Gastrointestinal Oncology Patients. Health Expectations, 18(6), 3088–3098.
Poland, F. et al. (2017). Developing Patient Education to Enhance Recovery after Colorectal Surgery through Action Research: A Qualitative Study. BMJ Open 7(6).
Ramsey, I., Corsini, N., Peters, M. D., & Eckert, M. (2017). A rapid review of consumer health information needs and preferences. Patient education and counseling, 100(9), 1634-1642.
Rogers, P.N. (2011). Does an Information Leaflet About Surgical Site Infection (SSI) Improve Recollection of Information and Satisfaction of Patients? A Randomized Trial in Patients Scheduled for Digestive Surgery. World Journal of Surgery, 35, 1212–1213.
Šakienė, L., Istomina, N., Salantera, S. (2014). Attitude of the Patients With Digestive Tract Surgery Towards Information Needs During the Perioperative Care. Sveikatos mokslai, 24(5), 26–30. Retvited: http://sm-hs.eu/index.php/smhs/article/view/sm-hs.2014.088.
Salz, T. et al. (2014). Colorectal Cancer Survivors’ Needs and Preferences for Survivorship Information. Journal of Oncology Practice, 10(4), e277–82. DOI: http://ascopubs.org/doi/10.1200/JOP.2013.001312.
Samuelsson, M.E., Klarin, I., Lökk,J., Gunnarsson, U., Iwarzon, M. (2018). The older patient’s experience of the healthcare chain and information when undergoing colorectal cancer surgery according to the enhanced recovery after surgery concept. Journal of Clinical Nursing, 27, e1580–e1588. DOI:10.1111/jocn.14328.
Schmidt, M. et al. (2015). Patient Empowerment Improved Perioperative Quality of Care in Cancer Patients Aged > 65 Years - a Randomized Controlled Trial. PLoS ONE, 10(9), 1–21.
Søndergaard, E.G. et al. (2013). A Survey of Cancer Patients’ Unmet Information and Coordination Needs in Handovers - A Cross-Sectional Study. BMC Research Notes 6(1).
Weiner, J.P. (2012). Doctor-Patient Communication in the e-Health Era. Israel Journal of Health Policy Research, 1(1), 1–7.
Yau, Y.H.C., Potenza, M.N. (2013). Stress and Eating Behaviors. Minerva Endocrinologica, 38(3), 255–267.