Contemporary day surgery: patients' experience of discharge and recovery.
OBJECTIVE
To explore and reveal patients' perceptions of discharge arrangements and recovery following day surgery.


BACKGROUND
Contemporary day surgery is increasingly being used to carry out elective surgical procedures enabling patients to be discharged on the same day. The Department of Health and government modernization programmes in the UK have encouraged this rapid growth. Preparation for discharge is important because patients require knowledge and understanding about self-management and access to primary health care services if required.


METHODS
Using a phenomenological approach, data were collected by unstructured interviews from 30 patients undergoing gynaecology, urology and general surgery procedures.


RESULTS
Deficits in patient preparation for discharge including the timing of information giving postprocedure for all groups were highlighted. The gynaecology patients pointed to a specific lack of verbal information about resuming sexual activity following procedures. Some general surgery and urology patients alluded to finding it stressful coping with threats to body image through 'skin discoloration', 'swelling' or 'bruising', because they did not know what to do. A number of urology patients talked about the challenges posed by difficulty with voiding, dysuria and haematuria.


CONCLUSIONS
The results and problems identified have applicability for the development of discharge planning services and patient education in a day surgery context. It is suggested that the use of evidenced-based and innovative interventions among health professionals might improve patient outcomes.
Gilmartin
Jo
J
School of Healthcare Studies, Baines Wing, University of Leeds, Leeds, UK. j.gilmartin@leeds.ac.uk
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000009:adverse effects / Q000451:nursing / Q000523:psychology*; D001294:Attitude to Health; D003266:Continuity of Patient Care; D004739:England; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D010351:Patient Discharge / Q000592:standards*; D010353:Patient Education as Topic / Q000592:standards*; D011182:Postoperative Care / Q000451:nursing / Q000523:psychology* / Q000592:standards; D036301:Qualitative Research; D020127:Recovery of Function; D012648:Self Care; D011795:Surveys and Questionnaires; D013520:Urologic Surgical Procedures / Q000523:psychology