AI Article Synopsis
- Strong patient engagement leads to better surgical outcomes and fewer complications, prompting the need for a new engagement model for surgical patients.
- Qualitative interviews with 38 postoperative patients revealed that factors like self-efficacy, resilience, and social support significantly enhance patient engagement after surgery.
- A tailored model for surgical patient engagement is essential for developing effective interventions to aid recovery and improve overall health outcomes.
Article Abstract
Background: Strong patient engagement is often associated with better postoperative outcomes and reduced risk of dangerous and expensive complications for the patient. Our goal with this project is to define a new model specifically for surgical patient engagement to guide future work to improve patient outcomes.
Methods: Open-ended qualitative interviews were conducted with 38 postoperative patients, analyzed using the conventional content analysis method, and coded with NVivo 11. Patients from either a safety net or private hospital in the Houston area between the ages of 18 and 70 y were recruited after surgery for either thyroid, parathyroid, colon, or rectal cancer, inflammatory bowel disease, and diverticulitis. Pregnant and incarcerated patients in addition to those with postoperative complications or interview time frames greater than 4 wk postoperatively were excluded.
Results: Of patients completing the Patient Activation Measure, 98% obtained a score of 3 or 4, indicating optimal levels of activation despite differences in socio-economic status. Upon analysis of coded transcripts, four main themes of "self-efficacy," "resilience," "transitional agency," and "enabling agency," in addition to a fifth emergency rescue activator, "family and social support," were discovered as "drivers" of patient engagement.
Conclusions: A novel model of patient engagement specific to surgical patients is necessary because of the unique recovery track they endure. Our new model can be used to develop interventions for these patients to improve their engagement and thereby their outcomes.
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| http://dx.doi.org/10.1016/j.jss.2019.11.025 | DOI Listing |
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