137: A qualitative study on perioperative experiences and coping of patients after lumbar fusion surgery

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Abstract

Objective: Recovery following lumbar fusion surgery is frequently accompanied by post-operative pain, and patients often continue to experience some level of chronic pain. There is a scarcity of qualitative research focusing on patient experiences regarding lumbar fusion surgery. This study aims to clarify how lumbar fusion surgery patients experience the perioperative period; their hopes, their post-operative pain experiences, their fluctuating physical condition and accompanying emotions. Methods: Semi-structured interviews were conducted with 12 lumbar fusion surgery patients. Transcripts of these interviews were open and axial coded by two coders using Atlas.ti software and Thematic Analysis. Results: A total of thirteen categories and four overarching themes were generated from the data. Participants described their beliefs and experiences surrounding surgery, including a long preoperative illness process, tumultuous recovery and unfulfilled preoperative expectations. Participants used various forms of pain coping including activity avoidance and endurance, and emotion regulation strategies such as acceptance. Conclusion: This study demonstrates that, for lumbar fusion patients, surgery seems to be a last resort. Professionals should fulfill the patients need for information and focus on managing realistic expectations while respecting the distress and strain the illness process has on a patient, thereby potentially increasing patient satisfaction and enhancing postoperative recovery.

Original languageEnglish
Article number100707
JournalInternational Journal of Orthopaedic and Trauma Nursing
DOIs
Publication statusE-pub ahead of print/First online - 8 Jul 2019

Fingerprint

Pain
Hope
Emotions
Interviews
Perioperative Period
Qualitative Research
Atlases
Patient Satisfaction
Chronic Pain
Software

Keywords

  • Coping
  • Emotion regulation
  • Interviews
  • Lumbar fusion surgery
  • Patient experiences
  • Qualitative research

Cite this

@article{833011a96aa14b5194c354129d9e024a,
title = "137: A qualitative study on perioperative experiences and coping of patients after lumbar fusion surgery",
abstract = "Objective: Recovery following lumbar fusion surgery is frequently accompanied by post-operative pain, and patients often continue to experience some level of chronic pain. There is a scarcity of qualitative research focusing on patient experiences regarding lumbar fusion surgery. This study aims to clarify how lumbar fusion surgery patients experience the perioperative period; their hopes, their post-operative pain experiences, their fluctuating physical condition and accompanying emotions. Methods: Semi-structured interviews were conducted with 12 lumbar fusion surgery patients. Transcripts of these interviews were open and axial coded by two coders using Atlas.ti software and Thematic Analysis. Results: A total of thirteen categories and four overarching themes were generated from the data. Participants described their beliefs and experiences surrounding surgery, including a long preoperative illness process, tumultuous recovery and unfulfilled preoperative expectations. Participants used various forms of pain coping including activity avoidance and endurance, and emotion regulation strategies such as acceptance. Conclusion: This study demonstrates that, for lumbar fusion patients, surgery seems to be a last resort. Professionals should fulfill the patients need for information and focus on managing realistic expectations while respecting the distress and strain the illness process has on a patient, thereby potentially increasing patient satisfaction and enhancing postoperative recovery.",
keywords = "Coping, Emotion regulation, Interviews, Lumbar fusion surgery, Patient experiences, Qualitative research",
author = "{van der Horst}, {Annemieke Y.} and Trompetter, {Hester R.} and Pakvis, {Dean F.M.} and Kelders, {Saskia M.} and Schreurs, {Karlein M.G.} and Bohlmeijer, {Ernst T.}",
year = "2019",
month = "7",
day = "8",
doi = "10.1016/j.ijotn.2019.07.003",
language = "English",
journal = "International Journal of Orthopaedic and Trauma Nursing",
issn = "1878-1241",
publisher = "Elsevier",

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T2 - A qualitative study on perioperative experiences and coping of patients after lumbar fusion surgery

AU - van der Horst, Annemieke Y.

AU - Trompetter, Hester R.

AU - Pakvis, Dean F.M.

AU - Kelders, Saskia M.

AU - Schreurs, Karlein M.G.

AU - Bohlmeijer, Ernst T.

PY - 2019/7/8

Y1 - 2019/7/8

N2 - Objective: Recovery following lumbar fusion surgery is frequently accompanied by post-operative pain, and patients often continue to experience some level of chronic pain. There is a scarcity of qualitative research focusing on patient experiences regarding lumbar fusion surgery. This study aims to clarify how lumbar fusion surgery patients experience the perioperative period; their hopes, their post-operative pain experiences, their fluctuating physical condition and accompanying emotions. Methods: Semi-structured interviews were conducted with 12 lumbar fusion surgery patients. Transcripts of these interviews were open and axial coded by two coders using Atlas.ti software and Thematic Analysis. Results: A total of thirteen categories and four overarching themes were generated from the data. Participants described their beliefs and experiences surrounding surgery, including a long preoperative illness process, tumultuous recovery and unfulfilled preoperative expectations. Participants used various forms of pain coping including activity avoidance and endurance, and emotion regulation strategies such as acceptance. Conclusion: This study demonstrates that, for lumbar fusion patients, surgery seems to be a last resort. Professionals should fulfill the patients need for information and focus on managing realistic expectations while respecting the distress and strain the illness process has on a patient, thereby potentially increasing patient satisfaction and enhancing postoperative recovery.

AB - Objective: Recovery following lumbar fusion surgery is frequently accompanied by post-operative pain, and patients often continue to experience some level of chronic pain. There is a scarcity of qualitative research focusing on patient experiences regarding lumbar fusion surgery. This study aims to clarify how lumbar fusion surgery patients experience the perioperative period; their hopes, their post-operative pain experiences, their fluctuating physical condition and accompanying emotions. Methods: Semi-structured interviews were conducted with 12 lumbar fusion surgery patients. Transcripts of these interviews were open and axial coded by two coders using Atlas.ti software and Thematic Analysis. Results: A total of thirteen categories and four overarching themes were generated from the data. Participants described their beliefs and experiences surrounding surgery, including a long preoperative illness process, tumultuous recovery and unfulfilled preoperative expectations. Participants used various forms of pain coping including activity avoidance and endurance, and emotion regulation strategies such as acceptance. Conclusion: This study demonstrates that, for lumbar fusion patients, surgery seems to be a last resort. Professionals should fulfill the patients need for information and focus on managing realistic expectations while respecting the distress and strain the illness process has on a patient, thereby potentially increasing patient satisfaction and enhancing postoperative recovery.

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KW - Emotion regulation

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KW - Patient experiences

KW - Qualitative research

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