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Health Is Belonging: Lived Experiences during Recovery after Pancreaticoduodenectomy

機(jī)譯：健康屬于生命：胰十二指腸切除術(shù)后恢復(fù)過程中的真實(shí)經(jīng)驗(yàn)

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The aim of this study was to explore the lived experience of the symptoms, health, and illness reported by patients recovering after pancreaticoduodenectomy ad modum Whipple due to pancreatic or periampullary cancer. Thirteen patients with pancreatic or periampullary cancer who underwent pancreaticoduodenectomy ad modum Whipple between 2006 and 2008 were interviewed during postoperative recovery. Data were analysed using the phenomenological-hermeneutic method. The structural analysis of patient experiences revealed that recovery after pancreaticoduodenectomy was described as recapturing everyday life, being healthy, and looking to the future. Participants experienced symptoms but did not dwell on them, instead they stated that their general health was good. They strived to regain their former precancer selves and be a part of as well as contribute to the social context. Overall, the participants' view of the future was positive, and improvement in their health generated further confidence and encouragement. This study suggests that persons recovering from pancreaticoduodenectomy ad modum Whipple due to a pancreatic or periampullary tumour experience health despite postoperative symptoms. They manage their symptoms by means of different strategies and express a positive view of the future. Nurses working with such patients should adopt a person-centred approach focusing on patient perspectives, participation, and possibilities.
機(jī)譯：這項(xiàng)研究的目的是探究胰腺十二指腸切除術(shù)和適量的Whipple術(shù)后因胰腺癌或壺腹癌而康復(fù)的患者報(bào)告的癥狀，健康和疾病的真實(shí)經(jīng)歷。在術(shù)后恢復(fù)期間，對2006年至2008年間接受了適度Whipple胰十二指腸切除術(shù)的13例胰腺或壺腹癌患者進(jìn)行了采訪。使用現(xiàn)象學(xué)-解釋學(xué)方法分析數(shù)據(jù)。對患者經(jīng)歷的結(jié)構(gòu)分析表明，胰十二指腸切除術(shù)后的康復(fù)被描述為重新奪回了日常生活，保持健康并展望未來。參與者有癥狀，但并未對此加以說明，相反，他們表示總體健康狀況良好。他們努力恢復(fù)以前的癌癥前自我，成為社會(huì)背景的一部分并為之做出貢獻(xiàn)。總體而言，參與者對未來的看法是積極的，健康狀況的改善引起了更多的信心和鼓勵(lì)。這項(xiàng)研究表明，由于胰腺或壺腹周圍腫瘤而從胰十二指腸切除術(shù)中恢復(fù)正常的Whipple患者盡管有術(shù)后癥狀，但仍會(huì)感到健康。他們通過不同的策略來管理自己的癥狀，并對未來表示樂觀。與這類患者一起工作的護(hù)士應(yīng)采取以人為本的方法，著重于患者的觀點(diǎn)，參與和可能性。

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