在接受胃肠道癌症手术的患者中,与术后决策后悔相关的因素:前性队列研究
Hiromitsu Kinoshita1, Tatsuto Nishigori1,2, Takayo Nakabe3,4
1Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
The American surgeon
|July 14, 2023
概括
患者对医生的信任和经历手术后并发症显著影响胃肠癌手术后的决定后悔. 高度的信任可能会减轻遗憾,即使有并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 健康心理学 心理健康心理学
背景情况:
- 手术是可切除胃肠道 (GI) 癌症的主要治疗方法.
- 手术后遗憾是肠道癌症患者中公认的现象.
- 影响这种遗憾的因素仍然不清楚.
研究的目的:
- 鉴定经过胃肠道癌手术的患者中与术后决策遗憾相关的因素.
主要方法:
- 一项前性研究,从2020年2月到7月,涉及70名胃肠道癌症患者.
- 使用决策遗憾量级 (DRS) 量化衡量决策遗憾.
- 多变量线性回归分析以确定重要因素.
主要成果:
- 中位数的DRS得分为10.0.
- 手术前对医生的信任与遗憾相反相关 (B = -77 ,P < .001).
- 手术后的并发症与遗憾正面相关 (B = 9.17,P = .0011).
结论:
- 术前对医生的信任和术后并发症是胃肠道癌手术后遗憾决定的关键因素.
- 虽然并发症会增加遗憾,但强烈的医生信任可能是保护因素.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119
Inflammatory Bowel Disease V: Surgical Management
171
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
171
Peptic Ulcer Disease V: Surgical Management and Nursing Care
347
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
347
Appendicitis-II: Diagnostic Studies and Management
100
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
100
Endoscopic Procedures I: Esophagogastroduodenoscopy
204
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
204
Peripheral Artery Disease V: Postoperative Nursing Management
12
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
12


