确定女性在压力尿失禁治疗决策中的需求:一种定性研究
Maria B E Gerritse1,2, Ellis de Swart1, Marieke de Vries3
1Department of Gynecology, Radboud University Medical Center, Nijmegen, the Netherlands.
Women's health reports (New Rochelle, N.Y.)
|July 21, 2023
概括
接受压力尿失禁 (SUI) 治疗的妇女需要个性化照顾和足够的时间. 共享决策 (SDM) 应纳入信息,同理心和社会背景,以获得最佳的 SUI 治疗选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 患者为中心的护理
- 健康心理学健康心理学
背景情况:
- 女性压力尿失禁 (SUI) 治疗涉及偏好敏感的决策.
- 共享决策 (SDM) 是首选的方法,优先考虑患者的需求.
- 了解患者的决策需求对于有效的 SUI 管理至关重要.
研究的目的:
- 确定女性在SUI治疗选择时的具体决策需求.
- 为SUI提供以患者为中心的决策支持工具的开发提供信息.
主要方法:
- 与16名寻求SUI治疗的女性进行了半结构面试.
- 采访使用了基于太华决策支持框架的主题列表.
- 转录的采访被编码,以确定与治疗决策相关的主题.
主要成果:
- 出现了四个主要主题:信息需求,SDM偏好,个性化护理要求和社会背景考虑.
- 患者表达了对客观信息和主观要素的需求,例如症状承认和医生理解.
- 足够的时间来做出决定被确定为一个关键因素.
结论:
- 对女性 SUI 进行有效的 SDM 需要解决已识别的决策需求.
- 纳入信息,个性化和社会背景的主题可以提高SUI治疗决策.
- 这项研究为改善女性SUI护理中的SDM流程提供了基础.
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