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  • 1. Fässler, Lena
    et al.
    Bramhagen, Ann-Cathrine
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Betydelsen av preoperativ information inför colorektal kirurgi - ett patientperspektiv2011Report (Other academic)
    Abstract [en]

    Information and education are important components in the care of patients before colorectal surgery. In order to optimize a quick recovery after surgery sufficient and evidence based information is essential. The aim was to describe and review scientific articles regarding the importance of the preoperative patient information given before colorectal surgery from a patient perspective. The method was a literature study, with a systematic approach, in order to find evidence concerning patient information before colorectal surgery. The results showed that patients describe experiences of anxiety, insecurity, and the fear of the unknown. They needed healthcare givers which provide a feeling of security and continuity. If the patients receive multidimensional, written and verbal information, they are less anxious and have higher self-control postoperatively. They also experience less pain and can be mobilized earlier. If patients who should receive a stoma met a stoma therapist preoperative expressed less anxiety, fewer stoma complications and better mental well-being. This means that the patients can manage their colostomy earlier. Accurate preoperative information enhances understanding of the postoperative recovery phase and makes patients more involved. This leads to earlier recovery and discharge. The conclusion is that patients undergoing colorectal surgery are in great need of preoperative information. When this is given due to a standard care program, with regard to the individual needs, the patients will be better prepared for their surgery and postoperative care. Patients will participate in their care actively and take responsibility early, reducing complications and accelerate the post-operative recovery. Through good cooperation in the team around the patient, the individual needs of the patient are optimized. If the patient is assigned a patient charge nurse, the individual needs is identified earlier and if necessary followed up postoperatively after discharge.

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