PREsurgery thoughts - thoughts on prehabilitation in oncologic gynecologic surgery, a qualitative template analysis in older adults and their healthcare professionals
| Autor: | Wouter J Meijer, K. Marieke Paarlberg, Vera van der Zanden, Hester J van der Zaag-Loonen, Barbara C. van Munster, Marian J.E. Mourits |
|---|---|
| Přispěvatelé: | Targeted Gynaecologic Oncology (TARGON), Damage and Repair in Cancer Development and Cancer Treatment (DARE), Value, Affordability and Sustainability (VALUE), Molecular Neuroscience and Ageing Research (MOLAR) |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
First contact
medicine.medical_specialty PREDICTOR Nursing staff Prehabilitation media_common.quotation_subject Health Personnel Exploratory research Gynecologic oncology frailty CANCER-PATIENTS gynecologic oncology Literacy VALIDATION surgery Gynecologic Surgical Procedures ADHERENCE Preoperative Care medicine Humans media_common Aged OUTCOMES Health professionals Rehabilitation LITERACY Preoperative Exercise WOMEN frail elderly Surgery HYSTERECTOMY Female Psychology Delivery of Health Care qualitative research Qualitative research |
| Zdroj: | Disability and Rehabilitation, 44(20), 5930-5940. Taylor & Francis Ltd |
| ISSN: | 0963-8288 |
| Popis: | Purpose This study aimed to reveal information that can be used for composing a prehabilitation program tailored to elderly gynecological oncological patients and is applicable to healthcare professionals. We investigated possible content and indications for prehabilitation, and what potential barriers might exist. Materials and methods Because of the primary exploratory study aim, inductive thematic template analysis on semi-structured interviews with gynecologic oncological patients aged ≥60 years and healthcare professionals were used. Results 16 patients and 20 healthcare professionals were interviewed. Three themes important for prehabilitation were found: (1) "Motivation," (2) "Practical issues and facilitators," and (3) "Patient-related factors." A short time interval between diagnosis and surgery was reported as a potential barrier for prehabilitation. Given components for a tailor-made prehabilitation program are: (1) The first contact with a nurse who screens the patients, gives tailor-made advice on prehabilitation and keeps patients motivated and supports them mentally; (2) If patients are referred to a more extensive/supervised program, this should preferably be arranged close to a patients' home. Conclusion Based on our findings, an outline of a patient-tailored prehabilitation program was developed. The main important themes for prehabilitation were "Motivation," "Practical issues and facilitators," and "Patient-related factors."IMPLICATIONS FOR REHABILITATIONPatients and healthcare professionals are positive about prehabilitation.Main themes for designing a prehabilitation program are "Motivation," "Practical issues and facilitators," and "Patient-related factors."Nursing staff can play a key role in prehabilitation.It is important to screen patients for specific impairments to obtain a tailor-made prehabilitation program.For some patients, general advice on prehabilitation might be sufficient, while others may need more supervision.The time interval between diagnosis and surgery is often short and is perceived as a potentially significant barrier for an effective prehabilitation program. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|