Att vara förberedd inför utskrivning - Information och kommunikation i samband med elektiv operation för kolorektal cancer

Detta är en Magister-uppsats från

Sammanfattning: Background: Colorectal cancer is the third most common cancer diagnosis in the world and in Sweden. Treatment is surgery that can have physical, mental and emotional impact on the patient´s recovery. Previous research shows that there is a lack of information given prior to discharge. Aim: To describe if and how patients feel prepared facing discharge, in conjunction with colorectal cancer surgery, after completed intervention. Method: A survey study was conducted during 2014-2015 at 3 hospitals in Sweden after an introduction with a person-centred information and communication intervention. Two hundred and seven colorectal cancer patients answered 23 questions about preparedness in the survey: Preparedness for Colorectal Cancer Surgery Questionnaire (PCSQ). It measures four domains; Searching for and making use of information, Understanding and involvement in the care process, Making sense of the recovery, Support and access to care. The questions were analyzed quantitatively with descriptive statistics. One open question was analyzed qualitatively with manifest content analysis. Results: A majority (84.2%) of the patients felt prepared for discharge and recovery at home. Both oral and written information had prepared them. They had received support prior to discharge, could ask questions to the staff and get answers that were easy to understand. The majority of participants also know where to turn if they have questions about the surgery and the cancer. Twenty percent of the participants did not feel that they had received information how they might feel during the initial period at home after discharge, and 24% felt lonely and exposed in contact with the health care staff. Conclusion: Completed intervention with person-centered information and communication provides conditions for preparedness at discharge from the hospital for patients after colorectal cancer surgery.

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