患者对获得初级偏甲状腺症手术障碍的看法:定性审查
Walker Phillips1, James Stallworth1, Andrea Gillis1
1Department of Surgery, The University of Alabama at Birmingham, USA.
American journal of surgery
|August 28, 2023
概括
患者面临着主要偏甲状腺症 (PHPT) 手术的重大障碍,包括转诊问题和财务问题. 改善支持系统和医生沟通可以提高PHPT患者的外科治疗机会.
科学领域:
- 内分泌手术 内分泌手术
- 手术患者可以访问手术患者的访问.
背景情况:
- 原发性偏甲状腺症 (PHPT) 是一种常见的内分泌疾病.
- 手术干预,副甲状腺切除术,是PHPT的最终治疗方法.
- 患者报告的障碍可能会阻碍获得及时的外科护理.
研究的目的:
- 定性地探索患者识别的PHPT手术障碍.
- 确定可行的干预措施,以改善PHPT患者的手术护理机会.
主要方法:
- 通过电话采访了49名为PHPT进行副甲状腺切除术的患者.
- 一个11个问题的采访探讨了患者报告的障碍和建议的干预措施.
- 3名独立审稿人进行了定性主题分析.
主要成果:
- 偏甲状腺切除术的延迟最常被归因于转诊过程问题和错过的诊断.
- 关键的障碍包括交通困难,财务限制以及工作时间的挑战.
- 患者建议改善支持系统 (运输,财政援助,宣传) 和改善医生沟通.
结论:
- 患有PHPT的患者遇到手术治疗的多方面的障碍.
- 解决转诊和诊断延迟问题至关重要.
- 增强的支持系统和医生与患者的沟通对于改善外科手术的准入至关重要.
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