Experience of postoperative recovery before discharge: patients’ views
2006 (English)In: Journal of Advanced Perioperative Care, Vol. 2, no 3, 93-102 p.Article in journal (Refereed) Published
This study focuses on a subgroup of a larger group of patients included in a double-blind,randomised trial with music, music in combination with therapeutic suggestions or controlintervention during hysterectomy under general anaesthesia (Nilsson et al 2001).Thepurpose of this study was to describe patients’ experiences of postoperative recovery beforedischarge from hospital, in two intervention-with-music groups in relation to experience ofthe patients in a control group.Thirty-one women who underwent abdominal hysterectomyunder general anaesthesia were interviewed on their last postoperative day at the hospital.The interviews were analysed with thematic and manifest content analysis.The findingsshowed that patients experienced recovery in terms of a ‘sense of caring’, a ‘sense ofrecovery’ and a ‘sense of coping’.When comparing the three intervention groups there wasno difference in patients’ experiences of caring, recovery or coping.There was, however, asignificant difference gained from the manifest content analysis in experience of fatigue,with the patients in the music group experiencing it more positively.The patients describedcaring in terms of being either cared for or not cared for, which created either positive ornegative feelings such as security and calmness, or isolation and loneliness.‘Sense ofrecovery’was shown as a physical and physiological recovery process in terms of pain,nausea and fatigue. In comparing frequencies of reported pain, nausea and fatigue in allthree groups together it was found that pain was described positively more often thannegatively while the opposite was true for nausea and fatigue.The women also revealeddifferent ways of coping during the recovery process, such as trying to look at the problemobjectively, positive thinking, distraction and use of supportive resources. In conclusion theresults of the present study show that intraoperative music therapy can make theexperience of postoperative fatigue more positive and this finding, together with the resultsfrom the main study (Nilsson et al 2001), gives a more complete view of patients’experiences of postoperative recovery after presence or absence of intervention.
Place, publisher, year, edition, pages
2006. Vol. 2, no 3, 93-102 p.
Caring, Coping, Experience, Fatigue, Music, Nausea, Pain, Postoperative recovery
IdentifiersURN: urn:nbn:se:umu:diva-37404OAI: oai:DiVA.org:umu-37404DiVA: diva2:360215