Exploring patient concerns prior to lumbar surgery: a descriptive phenomenological study.

PURPOSE: This study aimed to explore the concerns experienced by patients undergoing lumbar degenerative disc surgery and critically examine the underlying factors contributing to these concerns.

MATERIALS AND

METHODS

A qualitative research design employing a descriptive phenomenological approach was utilised. Individual interviews were conducted face-to-face during March and April, 2025, in the inpatient neurosurgery clinic of a university hospital. Patients who were undergoing elective lumbar degenerative disc surgery for the first time and were scheduled for the following day were included. The COREQ checklist were followed in this investigation, and the data was analysed by using ATLAS.ti 8.0.

RESULTS

The analysis revealed three main themes: fears, uncertainties, and final decision for surgery. Patients reported preoperative fears related to anaesthesia, disability and postoperative pain. These fears were compounded by uncertainties regarding surgical outcomes, which in several cases resulted in postponement or delay in surgical decision-making. Despite these concerns, facilitators such as social support, trusting surgeon, and positive thinking helped patients overcoming their preoperative distress.

CONCLUSIONS

These results underscore the importance of addressing psychological preparedness in surgical care of patients undergoing their first time lumbar degenerative disc surgery. It is recommended that healthcare professionals adopt patient-centered preoperative strategies that emphasise psychological support and personalised pain management strategies.