Patient satisfaction with 23-hour "short-stay" observation following breast cancer surgery.

Abstract:

PURPOSE/OBJECTIVES:To determine what problems patients undergoing breast cancer surgery experienced following discharge after participating in a 23-hour short-stay observation program and to explore their perceptions of the short-stay experience. DESIGN:Descriptive and exploratory. SETTING:A comprehensive cancer center in an urban setting. SAMPLE:52 women undergoing modified radical mastectomy, segmental mastectomy (lumpectomy) with axillary node dissection, simple mastectomy, or other breast procedures. METHODS:Telephone interviews 24-72 hours and 7-10 days after discharge using questionnaires developed by the investigators. MAIN RESEARCH VARIABLES:Postoperative difficulties, satisfaction with pain relief, positive and negative aspects of the short-stay process, and discharge to home. FINDINGS:Most patients had no difficulty with drain and incision care (84%), reported satisfactory analgesic relief with their prescribed medications (> 95%), and were prepared to leave the hospital on first postoperative day (85%). Patient education and care provided by physicians and nurses were highly rated. Although most responses were highly favorable, some women desired longer hospitalization (21%) and greater privacy while on the observation unit (13%). CONCLUSIONS:By coordinating inpatient and outpatient services, short-stay observation following breast cancer surgery can be accomplished in a safe environment that patients perceive to be satisfactory and of high quality. IMPLICATIONS FOR NURSING PRACTICE:Short-stay observation is feasible for appropriately prepared postoperative patients who normally are managed on traditional impatient units.

journal_name

Oncol Nurs Forum

journal_title

Oncology nursing forum

authors

Burke CC,Zabka CL,McCarver KJ,Singletary SE

subject

Has Abstract

pub_date

1997-05-01 00:00:00

pages

645-51

issue

4

eissn

0190-535X

issn

1538-0688

journal_volume

24

pub_type

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