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上肢血管化复合性全体移植患者选择标准的患者偏好:一种定性研究

Karen B Vanterpool¹, Jessica Gacki-Smith², Max C Downey¹

¹Department of Surgery, NYU Grossman School of Medicine, New York, NY, USA.

SAGE open medicine

|June 21, 2023

概括

患者对上肢血管化复合性全体移植 (UE-VCKA) 选择标准的看法强调了年龄,健康,心理稳定性和社会支持对于成功的结果的重要性. 了解这些因素可以改善患者的坚持和减少移植损失.

科学领域:

* 移植手术移植手术
* 重建性手术是一种重建性手术.
*以患者为中心的护理

背景情况:

*上肢血管化复合性全体移植 (UE-VCKA) 为肢体损失提供了增强生命的重建性治疗.
*评估患者对选择标准的看法对于管理期望和改善结果至关重要.
* 现实的期望可以提高患者的坚持,优化结果,并最大限度地减少移植损失.

研究的目的:

* 评估上肢肢损失患者对UE-VCKA患者选择标准的看法.
* 确定影响患者适应UE-VCKA候选人的关键因素.
*为UE-VCKA计划制定改进的查措施提供信息.

主要方法:

*与50名参与者进行了深入采访,包括肢体损失,UE-VCKA候选人,参与者和接受者.
*参与者是来自三个美国机构的民用和军事服务人员.
*使用专题分析分析了对UE-VCKA患者选择标准的认知质量数据.

主要成果:

* 六个新兴主题确定了理想的候选特征:年轻,身体健康,精神稳定,对康复的承诺,截肢的特定特征和适当的社会支持.
* 参与者表达了对单边或双边肢体损失的候选人选择的偏好.
*大多数参与者是男性 (78%),白人 (72%),有单方面肢体损失 (84%),平均年龄为45岁.

结论:

*患者对UE-VCKA选择标准的看法受到医学,社会和心理因素的结合的影响.
*将患者的观点纳入验证的查措施的开发中,可以优化UE-VCKA的结果.
* 将患者的期望与UE-VCKA过程的现实保持一致,对于成功的移植至关重要.

关键词:

手的移植手的移植手.截肢是一种截肢.候选人的评价评价候选人的评价资格标准资格标准伦理学伦理伦理学面试面试面试面试肢体损失失去肢体的损失患者的期望患者的期望感知感知感知感知康复康复康复康复康复康复

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