随着围手术期护理转向更加以患者为中心的模式，了解患者的需求和经历至关重要。获得这种洞察力可以增强护理与患者优先事项的一致性，鼓励坚持以康复为导向的干预措施。我们的目的是探索患者定义的康复以及改变加速康复外科 (ERAS) 护理下结直肠疾病患者康复过程的要素。2018 年 4 月期间，在加拿大艾伯塔省的一家 ERAS 参与医院进行了一项定性研究到 2019 年 6 月。共同设计焦点小组确定了研究方向，并在医院术后或出院后 3 个月内进行了半结构化访谈。通过有目的的采样，针对不同的患者年龄和结直肠状况。访谈内容逐字转录，并通过显性内容和潜在内容分析进行分析。20 名患者，平均年龄 62 (SD:13) 岁，45% 患有癌症（n = 17 名访谈，n = 2 焦点小组和访谈，n = 1 仅焦点小组）已被录取。患者将康复定义为恢复正常生活，并确定了四个主题。首先，恢复阶段：恢复被描述为多维阶段，特别是早期、晚期/长期和终点。其次，恢复促进者：通过积极的心态、有意识的恢复和发挥积极作用来支持恢复。第三，恢复障碍：消极心态和治疗副作用阻碍了恢复。最后，康复催化剂：沟通、自主性和期望促进主动或被动康复。我们以患者为导向的康复模式可能通过捕捉患者的康复经历为 ERAS 框架贡献一个新的维度。鼓励进一步研究探索其在 ERAS 范围内加强以患者为中心的护理方面的价值。美国外科医生学会版权所有 © 2024。由 Wolters Kluwer Health, Inc. 出版。保留所有权利。

As perioperative care shifts to a more patient-centered model, understanding needs and experiences of patients is vital. Gaining such insight can enhance the alignment of care with patient priorities, encouraging adherence to recovery-oriented interventions. We aimed to explore patient-defined recovery and the elements that modify the recovery process for patients with colorectal disease under Enhanced Recovery After Surgery (ERAS) care.A qualitative study was conducted at an ERAS-participating hospital in Alberta, Canada, between April 2018 to June 2019. A co-design focus group set the research direction and semi-structured interviews were conducted postoperatively in hospital or within 3 months post-discharge. Diverse patient ages and colorectal conditions were targeted through purposive sampling. Interviews were transcribed verbatim and analyzed through manifest and latent content analysis.Twenty patients with mean age 62 (SD:13) years and 45% with cancer (n=17 interview, n=2 focus group and interview, n=1 focus group only) were enrolled. Recovery was defined by patients as the return to normal routines and four themes were identified. First, Phases of recovery: recovery was described as multidimensional phases distinctively as early, late/long-term, and the endpoint. Second, Recovery facilitators: recovery was supported through positive mindsets, conscious recovery, and taking an active role. Third, Recovery barriers: recovery was hindered by negative mindsets and treatment side-effects. Finally, Recovery catalysts: communication, autonomy, and expectations facilitated active or passive recovery.Our patient-oriented recovery model may contribute a new dimension to the ERAS framework by capturing patients' recovery experiences. Further research is encouraged to explore its value in enhancing patient-centered care within ERAS.Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.