相关实验视频
Updated: Jul 21, 2025

04:14
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
510
"不"后的生活:因高风险特征而拒绝修复的人的行为改变障碍
Anne P Ehlers1,2,3, Wilson Nham4,5, C Ann Vitous6,5
1Department of Surgery, University of Michigan, 1500 E Medical Center Drive, SPC 5343, 2210 Taubman Center, Ann Arbor, MI, 48109, USA. aehlers@med.umich.edu.
Surgical endoscopy
|July 27, 2023
概括
患者面临选择性手术行为改变的障碍,需要更好地获得资源和改善患者-提供者沟通,以成功优化. 了解这些挑战是提高手术护理的关键.
科学领域:
- 手术优化手术优化
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 选择性手术,如腹修复,从手术前的风险因素减轻中受益.
- 建立了一个手术前优化诊所,以支持高风险患者,但手术进展有限.
研究的目的:
- 为了确定行为改变的障碍,在患者中转介选择性腹修复.
- 为改善手术前护理和手术结果的策略提供信息.
主要方法:
- 定性研究涉及20名患者的半结构面试,由于吸烟或肥胖而拒绝手术.
- 采访数据的诱导性主题分析,以确定关键主题.
主要成果:
- 三个主要主题出现了:患者对自己在行为改变中的作用的感知,提供的资源的可访问性和患者-提供者一致性.
- 大多数患者都有积极的临床经验,但手术进展的障碍显而易见.
结论:
- 选择性手术的行为改变是复杂的,受资源可访问性和患者提供商协议的影响.
- 加强现场促进和决策支持工具可能会改善患者参与和手术准备.
相关概念视频
Barrett Esophagus-II: Clinical Manifestations and Management
201
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
201
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Barrett Esophagus-I: Introduction
129
Barrett's esophagus is a medical condition where the esophageal mucosa is significantly damaged by stomach acid or other digestive fluids, often due to long-term exposure associated with gastroesophageal reflux disease (GERD). In GERD, a weakened or abnormally relaxed lower esophageal sphincter allows stomach acid to flow persistently into the esophagus.
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
129
Esophageal Strictures-II: Clinical Features and Management
104
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
104
Gastroesophageal Reflux Disease II: Clinical Features and Management
116
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
116
Barriers to Effective Communication I
9.0K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
9.0K

