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Publication
Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study
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Advisor(s)
Abstract(s)
Background: Perioperative experience can be very distressing in adolescence if not
managed properly by healthcare professionals. In the clinical context, the emotional
expression of the adolescent is less spontaneous, which makes the assessment of
anxiety, pain or even the desire to be involved in the perioperative process, difficult.
Listening to their perioperative experiences will permit an understanding of their
difficulties and expectations, regardless of the surgical intervention undergone.
Aim: To explore the adolescents’ perioperative experiences in relation to inpatient
and outpatient elective surgery.
Methods: Qualitative exploratory study, with thematic analysis approach. A purposive
sample of 40 adolescents aged 14–18
years and in the perioperative period, from
two paediatric surgery settings in a university hospital, was questioned from January
to July 2020. Data were collected using a semi-structured
interview and analysed
inductively with qualitative thematic analysis.
Results: The data yielded one major theme, five themes, and 14 sub-themes.
The
major theme, Adolescent in perioperative period, included the five themes: (1) emotional
and psychological aspects; (2) physical aspects; (3) social aspects; (4) organizational
aspects; (5) previous surgical experience. Adolescents expressed fear of the
unknown, anxiety, difficulty in pain control, and feelings of autonomy loss. Issues
related to withdrawal from school and friends is also a focus of adolescent concern
during the perioperative period. Despite showing satisfaction with the way they were
cared for, they complained about the lack of pre-and
post-operative
preparation.
Conclusion: There are aspects that should be considered when caring for adolescents
in perioperative period. As far as possible, programmes to prevent adolescents’
anxiety in perioperative period should be designed in a holistic perspective, with aim
at the psychological, physical, sociocultural, and organisational aspects.
Description
Keywords
Adolescents Anxiety Perioperative period Qualitative research
Citation
Pestana-Santos, M., Pestana-Santos, A., Santos, M. R., & Lomba, L. (2022). Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study. Scandinavian Journal of Caring Sciences. 32(2), 493-503
Publisher
Wiley