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Development of a conceptual framework of recovery after abdominal surgery

机译：腹部手术后概念复苏概念框架的发展

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Background There is a lack of patient-reported outcome measures (PROMs) with robust measurement properties to assess postoperative recovery and support patient-centered care after abdominal surgery. The aim of this study was to establish a conceptual framework of recovery after abdominal surgery to support the development of a conceptually relevant and psychometrically sound PROM. Methods Patients from four different countries (Canada, Italy, Brazil, and Japan) participated in qualitative interviews focusing on their lived experiences of recovery after abdominal surgery. Interviews were guided by a previously developed hypothesized conceptual framework established based on a literature review and expert consensus. Interviews were analyzed according to a modified grounded theory approach and transcripts were coded according to the International Classification of Functioning, Disability and Health (ICF). Codes for which thematic saturation was reached were classified into domains of health that are relevant to the process of recovery after abdominal surgery. These domains were organized into a structured diagram. Results 30 Patients with diverse demographics and surgical characteristics were interviewed (50% female, age 57 +/- 18 years, 66% major or major extended surgery). 39 Unique domains of recovery emerged from the interviews, 17 falling under the ICF category of "Body Functions" and 22 under "Activities and Participation". These domains constitute the conceptual framework of recovery after abdominal surgery. Conclusions This study provides comprehensive insight into patients' perspectives of the recovery process after abdominal surgery. This conceptual framework will support content validity and provide the pivotal basis for the development of a novel PROM to inform quality improvement initiatives and patient-centered research in abdominal surgery. Graphic abstract
机译：背景技术缺乏患者报告的结果措施（PROMS），具有稳健的测量性能，可评估术后回收并支持腹部手术后患者中心护理。本研究的目的是在腹部手术后建立一个概念复苏框架，以支持概念相关和精神术语的发展。方法从四个不同国家（加拿大，意大利，巴西和日本）的患者参加了重点采访的定性访谈，重点是腹部手术后恢复的生活经历。采访以先前开发的假设概念框架为指导，根据文献审查和专家共识建立。根据修改的接地理论方法分析了访谈，并根据运作，残疾和健康（ICF）的国际分类编码成分。达到主题饱和的代码被分类为与腹部手术后恢复过程相关的域。这些域被组织成结构化图。结果采访了30名不同人口统计和外科手术特征的患者（50％的女性，57岁+/- 18岁，66％的主要或主要延长手术）。 39从访谈中出现的39个独特的恢复领域，17岁以下落在“机构职能”和22款下的“活动和参与”下落下。这些域构成腹部手术后的概念恢复框架。结论本研究为腹部手术后患者的恢复过程的观点提供了全面的洞察力。这种概念框架将支持内容有效性，并为开发新的舞会提供关键的基础，以便在腹部手术中提供高质量改善举措和患者以患者为中心的研究。图形摘要

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