Cancer Clinical Trial
Official title:
Participation in Surgical Cancer Care; Patient, Next of Kin and Health Care Professionals' Perspective
Patients that are involved in their health care is associated with improved treatment outcomes, rehabilitation and recovery. In this research project we aim to assess patient participation among patients who had surgery for liver, bile duct (cholangiocarcinoma) and pancreatic cancer and follow a fast-track recovery program.
Implementation of Fast-track surgery programs for patients with tumors in the upper GI-tract
are steadily increasing because of the decreased costs, shorter hospital stays and a decrease
in morbidity, mortality and post-operative complications associated with Fast-track programs.
The health care team follows a standardized care program consisting of a check list with
day-to-day evidence based procedures which reduces postoperative complications. Postoperative
recovery is described as a process in which patients strive for a return to a normalized
daily life.
Major surgeries are associated with pain, nausea, postoperative ileus , fatigue,
post-operative complications such as wound infections , heart or lung dysfunctions and
thromboembolic complications. In the last 20 years perioperative care, anesthesia and surgery
for patients suffering from tumors has developed greatly. This has led to development and
evaluation of concepts to enhance the patients recovery after different types of surgery.
Fast-track surgery concepts results in decreased morbidity and enhanced recovery by
implemented evidence based principles in analgesia, anesthesia, fluid management, nutrition,
ambulation, minimal invasive surgery and reduction of surgical stress.
In recent years there's been a shift in focus of patient care. Patients are moving from a
passive role to being more participant in their care. In Sweden, patients have the legal
right to participate in their own care, and health care should be individualized for each
patient's needs and abilities. Being involved in your own health care contributes to
increased motivation and an improvement of the situation. This may in some cases lead to
better treatment outcomes and greater satisfaction with the given care. A severe symptom
burden can make the patient a passive recipient of health care without initiative or strength
to be involved in the care. In patients with malignancies of the upper gastrointestinal tract
monitoring and symptom relief of importance to stimulate opportunities for participation.
Aim
To investigate and describe patient participation among patients who had surgery for liver,
bile duct (cholangiocarcinoma) and pancreatic cancer and follow a fast-track recovery
program.
Specific aims
- To identify and describe patient participation in patients who follow a fast track-care
concept
- To explore patients experiences of patient participation
- To identify, describe and evaluate patient assessed health related quality of life; and
relations with patient participation
;
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