Investigating Adult Patients’ Cooperation and Response to Guidance in Incentive Spirometry Post-Operation: A Qualitative Study

Authors: Omar M. Alanazi, Ammar O. Alselmi, Mohammed A. Alodhayb, Abdulaziz A. Alghamdi

Country: Saudi Arabia

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Abstract: Background: Incentive spirometry (IS) is an important postoperative intervention aimed at reducing respiratory complications such as atelectasis and pneumonia. However, patient cooperation and adherence to IS can be challenging due to various factors.

Objective: This study explores the experiences of adult postoperative patients with incentive spirometry, focusing on factors influencing their cooperation and response to healthcare guidance.

Methods: A qualitative phenomenological approach was used to gain in-depth insights into patients' experiences. Semi-structured interviews were conducted with 20 adult patients who had undergone major abdominal surgery. Data were analyzed using thematic analysis to identify key themes.

Findings: Five major themes emerged: 1) Perceived Understanding and Importance of Incentive Spirometry, 2) Quality of Guidance and Instruction, 3) Physical and Emotional Factors, 4) Motivation and Self-Efficacy, and 5) Environmental and Contextual Influences. Patients with a clear understanding of IS's benefits, who received effective guidance and emotional support, and who were motivated showed higher adherence. Conversely, physical discomfort, low self-efficacy, and inadequate guidance were barriers to consistent use.

Conclusion: Enhancing patient education, providing quality guidance, managing physical discomfort, encouraging emotional support, and creating a supportive hospital environment are crucial for improving adherence to incentive spirometry. Tailored interventions addressing these factors can significantly improve postoperative outcomes.

Keywords: Incentive spirometry, postoperative care, patient cooperation, qualitative study, healthcare guidance, adult patients, adherence, thematic analysis

Paper Id: 1800

Published On: 2021-05-11

Published In: Volume 9, Issue 3, May-June 2021

Cite This: Investigating Adult Patients’ Cooperation and Response to Guidance in Incentive Spirometry Post-Operation: A Qualitative Study - Omar M. Alanazi, Ammar O. Alselmi, Mohammed A. Alodhayb, Abdulaziz A. Alghamdi - IJIRMPS Volume 9, Issue 3, May-June 2021.

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