A planned but vulnerable pathway towards self-management following day surgery. Orthopaedic patients’ experiences
Abstract
Introduction
An increasing share of surgical activity is organised as day surgery, thus giving more responsibility for care to patients and their next of kin.
Purpose
To obtain increased understanding of orthopaedic day surgery patients’ experiences with self-management.
Methods
A descriptive interview study. Eleven men and five women aged 18–78 years, who had undergone arthroscopic knee surgery in rural Norway participated in qualitative individual interviews during autumn 2018. Systematic text condensation was used as analysis strategy.
Results
The main theme a planned but vulnerable pathway towards self-management and five subthemes were highlighted. The interviewees were satisfied with most aspects of the day surgery. However, challenges in adapting oral and written information to self-management postdischarge, a need for further self-management support at home, and strenuous travel increased the strain.
Conclusion
The written and oral information and support that was planned and provided by the hospital did not meet the patients’ needs for self-management support postdischarge. The day surgery care pathway seemed to lack effective educational interventions for strengthening the patients’ self-efficacy and control and to have potential for improvements.
