基于Meleis过渡理论的前列腺癌患者术后参与出院准备服务体验的质性研究OA

Objective Based on Meleis'transition theory,this study explored the experiences and perceptions of patients undergoing robot-assisted radical prostatectomy(RARP)in participating in discharge preparation services,aiming to provide more humanized and targeted nursing recommendations for clinical practice.Methods A descriptive qualitative study was conducted.Using purposive sampling,patients who underwent RARP at Nanjing Drum Tower Hospital between August 2023 and January 2024 were selected for semi-structured face-to-face interviews.Interviews were conducted within 24 hours before discharge and during the first follow-up two weeks after discharge.For patients unable to return for follow-up,telephone interviews were conducted.Thematic analysis was performed using directed content analysis.Results A total of 20 patients were included.The experiences of patients participating in discharge preparation services were summarized into three main themes and nine sub-themes:awareness of discharge transition(ambivalence toward discharge decisions,uncertainty about the disease,active participation in the discharge process);multifaceted challenges during discharge transition(changes in physiological function,psychological and emotional distress,difficulties in social reintegration,challenges in accessing information);expectations for postoperative recovery(regaining a sense of control,actively adapting to the patient role).Conclusion Future healthcare and social services should place greater emphasis on addressing patients'physiological,psychological,social,and informational challenges.Through more personalized care,community services tailored to patients'needs,and clear health guidance,patients can be better supported in coping with postoperative challenges.