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首页> 外文期刊>Journal of orthopaedic nursing >The causes and consequences of cancellations in planned orthopaedic surgery: the reactions of patients and their families
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The causes and consequences of cancellations in planned orthopaedic surgery: the reactions of patients and their families

机译：有计划的骨科手术取消手术的原因和后果：患者及其家人的反应

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Planned surgical interventions may be postponed for several reasons. This paper examines the causes for cancellations of the planned surgical interventions of orthopaedic patients and the reactions of these patients and their families. This descriptive study was conducted on 50 patients who were hospitalized at the Orthopaedics and Traumatology Clinic of Istanbul University Faculty of Medicine during 2002, and who were planned to undergo surgical operations. The purpose was to define the reactions of these patients and their families to the cancellation, on the day of the operation. Data were gathered using a tool developed by the researchers. Observation and face-to-face interviewing methods were used.Results showed that 34% of the patients were hospitalized for planned primary total hip replacement operations, 28% of surgical operations were cancelled because of medical conditions, cancellation decisions were made by anaesthetists with a rate of 42%. After being informed of the cancellation, 30% of patients expressed extreme negative feelings for example, "I felt as if my house collapsed down on me" and 34% of the patients expressed negative feelings such as "now my anxiety will rise and I will feel more at unease", and 54% shed tears. Thirty percent of the family members entered into a state of helpless waiting, and a further 30% of them chose to conceal their sadness from their relatives.As a result, we suggest that patient preparation for surgery be organized so as to minimize cancellation possibilities and, when a cancellation is inevitable, to describe the event with its reasons thoroughly to the patient and his/her family.
机译：出于某些原因，计划的手术干预可能会被推迟。本文探讨了骨科患者计划中的手术干预取消的原因以及这些患者及其家人的反应。这项描述性研究针对2002年在伊斯坦布尔大学医学院骨伤科和骨伤科诊所住院的50例计划进行手术的患者进行。目的是在手术当天确定这些患者及其家属对取消治疗的反应。使用研究人员开发的工具收集数据。结果显示，34％的患者因计划的原发性全髋关节置换手术而住院，28％的外科手术因医疗状况而取消，麻醉师采用率为42％。被告知取消后，有30％的患者表现出极端的消极情绪，例如“我感觉我的房子倒塌了”，而有34％的患者表现出消极的情绪，例如“现在我的焦虑会加重，我会感到更加不安”，有54％的人流下了眼泪。 30％的家庭成员进入了无助的等待状态，另外30％的家庭成员选择向亲戚隐瞒悲伤，因此，我们建议组织患者手术准备，以最大程度地减少取消手术的可能性， ，在不可避免的情况下，请向患者及其家人全面描述事件及其原因。

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