دورية أكاديمية
أعرض في EDS

Patient adherence to an oral rehydration solution intervention to prevent dehydration following ileostomy creation: A qualitative study.

التفاصيل البيبلوغرافية
العنوان: Patient adherence to an oral rehydration solution intervention to prevent dehydration following ileostomy creation: A qualitative study.
المؤلفون: Bradley SE; Center for Health Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA. Electronic address: sarbra@med.umich.edu., Vitous CA; Center for Health Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA., Marzoughi M; University of Michigan Medical School, Ann Arbor, MI, USA., Dualeh SHA; Center for Health Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, University of Michigan, Ann Arbor, MI, USA., Rivard SJ; Department of Surgery, University of Massachusetts Memorial Medical Center, Worcester, MA, USA., Duby A; Center for Health Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, University of Michigan, Ann Arbor, MI, USA., Hendren S; Center for Health Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, University of Michigan, Ann Arbor, MI, USA., Suwanabol PA; Center for Health Outcomes and Policy, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, University of Michigan, Ann Arbor, MI, USA.
المصدر: American journal of surgery [Am J Surg] 2024 Jul; Vol. 233, pp. 120-124. Date of Electronic Publication: 2024 Mar 01.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Excerpta Medica Country of Publication: United States NLM ID: 0370473 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1883 (Electronic) Linking ISSN: 00029610 NLM ISO Abbreviation: Am J Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Belle Mead, NJ : Excerpta Medica
Original Publication: New York.
مواضيع طبية MeSH: Ileostomy*/adverse effects , Patient Compliance* , Qualitative Research* , Fluid Therapy*/methods , Dehydration*/prevention & control , Dehydration*/etiology, Humans ; Female ; Male ; Middle Aged ; Aged ; Rehydration Solutions/administration & dosage ; Rehydration Solutions/therapeutic use ; Patient Education as Topic/methods ; Adult ; Postoperative Complications/prevention & control ; Social Support ; Interviews as Topic
مستخلص: Background: Patients undergoing surgery for ileostomy creation frequently experience postoperative dehydration and subsequent renal injury. The use of oral rehydration solutions (ORS) has been shown to prevent dehydration, but compliance may be variable.
Methods: Semi-structured qualitative interviews were conducted with 17 patients who received a postoperative hydration kit and dehydration education to assess barriers and facilitators to compliance with ORS kit instructions.
Results: Qualitative analysis revealed five themes affecting patient adherence to the ORS intervention: (1) patient's perception of the effectiveness of the ORS solution, (2) existing co-morbidities, (3) kit quality and taste of the ORS product, (4) quality of the dehydration education, and (5) social support.
Conclusions: Given that patient adherence can greatly affect the success of an ORS intervention, the design of future ORS interventions should emphasize the educational component, the "patient friendliness" of the ORS kit, and ways that social supports can be leveraged to increase adherence.
Competing Interests: Declaration of competing interest Dr. Dualeh receives personal fees as a Visual Abstract Editor for the JAMA network. The other authors have no conflicts of interest to declare.
(Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Dehydration; Ileostomy; Oral rehydration solution; Patient compliance
المشرفين على المادة: 0 (Rehydration Solutions)
تواريخ الأحداث: Date Created: 20240306 Date Completed: 20240610 Latest Revision: 20240610
رمز التحديث: 20240611
DOI: 10.1016/j.amjsurg.2024.02.045
PMID: 38448319
قاعدة البيانات: MEDLINE
الوصف
تدمد:1879-1883
DOI:10.1016/j.amjsurg.2024.02.045