What patients and their families want to know before and after ICU tour for lung cancer surgery: a qualitative study

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Abstract

Background: Information asymmetry between healthcare providers and patients leads to low treatment participation and compliance, low admission satisfaction, and medical disputes. To provide a comprehensive understanding of the information needs of patients who undergoing lung cancer surgery before entering the intensive care unit (ICU), as well as the information needs from their caregivers. Methods :Under a qualitative study design, 27 lung cancer surgery patients and their family members in the Lung Cancer Center of West China Hospital of Sichuan University were selected by purposive sampling for semi-structured interviews. Content analysis was employed using NVivo12.0 software. Results : By extracting the important nodes in the semi-structured interview, the information needs of patients with lung cancer surgery and their family members were divided into two first-level nodes, four second-level nodes, and 13 third-level nodes to construct the ICU pre-experience information demand model. Conclusion :Patients undergoing lung cancer surgery and their families have limited access to ICU information, and medical personnel happen to be the main source of information support. Implications: Based on the findings of this study, an ICU pre-experience model will beexplored and established based on the information needs of patients and their families during the peri-ICU period as the benchmark and the key nodes of patients' treatment in the ICU as the time axis to decrease the anxiety of patients and their families, reduce medical disputes, and bolster their satisfaction with ICU nursing work. Reporting Method (if applicable): This study adhered the SRQR guidelines. Patient or Public Contribution: Overall, 27 lung cancer patients and their family members were selected through purposive sampling.

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