Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study

Pestana‐Santos, Marcia; Pestana‐Santos, Adriana; Reis Santos, Margarida; Lomba, Lurdes

Publication

Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study

2022Journal article

dc.contributor.author	Pestana‐Santos, Marcia
dc.contributor.author	Pestana‐Santos, Adriana
dc.contributor.author	Reis Santos, Margarida
dc.contributor.author	Lomba, Lurdes
dc.date.accessioned	2022-10-31T15:02:25Z
dc.date.available	2022-10-31T15:02:25Z
dc.date.issued	2022
dc.description.abstract	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.	pt_PT
dc.description.version	info:eu-repo/semantics/publishedVersion	pt_PT
dc.identifier.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	pt_PT
dc.identifier.doi	10.1111/scs.13046	pt_PT
dc.identifier.eissn	1471-6712
dc.identifier.uri	http://hdl.handle.net/10400.26/42141
dc.language.iso	eng	pt_PT
dc.peerreviewed	yes	pt_PT
dc.publisher	Wiley	pt_PT
dc.relation.publisherversion	https://onlinelibrary.wiley.com/doi/epdf/10.1111/scs.13046	pt_PT
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	pt_PT
dc.subject	Adolescents	pt_PT
dc.subject	Anxiety	pt_PT
dc.subject	Perioperative period	pt_PT
dc.subject	Qualitative research	pt_PT
dc.title	Adolescents’ perioperative experiences in relation to inpatient and outpatient elective surgery – a qualitative study	pt_PT
dc.type	journal article
dspace.entity.type	Publication
oaire.citation.endPage	503	pt_PT
oaire.citation.issue	2	pt_PT
oaire.citation.startPage	493	pt_PT
oaire.citation.title	Scandinavian Journal of Caring Sciences	pt_PT
oaire.citation.volume	36	pt_PT
person.familyName	Reis Santos
person.givenName	Margarida
person.identifier.ciencia-id	9813-185A-AC20
person.identifier.orcid	0000-0002-7948-9317
rcaap.rights	restrictedAccess	pt_PT
rcaap.type	article	pt_PT
relation.isAuthorOfPublication	9ae620cf-8b78-4888-9a0f-5d11168cb36d
relation.isAuthorOfPublication.latestForDiscovery	9ae620cf-8b78-4888-9a0f-5d11168cb36d