Expressions of conflict following postoperative complications in older adults having major surgery.
Am J Surg
; 222(4): 670-676, 2021 10.
Article
em En
| MEDLINE
| ID: mdl-34218931
ABSTRACT
BACKGROUND:
After serious postoperative complications, patients and families may experience conflict about goals of care.METHODS:
We performed a multisite randomized clinical trial to test the effect of a question prompt list on postoperative conflict. We interviewed family members and patients age ≥60 who experienced serious complications. We used qualitative content analysis to analyze conflict and characterize patient experiences with complications.RESULTS:
Fifty-six of 446 patients suffered a serious complication. Participants generally did not report conflict relating to postoperative treatments and expressed support for the care they received. We did not appreciate a difference in conflict between intervention and usual care. Respondents reported feeling unprepared for complications, witnessing heated interactions among team members, and a failure to develop trust for their surgeon preoperatively.CONCLUSION:
Postoperative conflict following serious complications is well described but its incidence may be low. Nonetheless, patient and family observations reveal opportunities for improvement.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Conflito Psicológico
/
Conflito Familiar
Tipo de estudo:
Clinical_trials
/
Qualitative_research
Limite:
Aged
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Aged80
/
Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Estados Unidos