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影响患者在腹手术后坚持多维生素摄入量的因素:多中心研究的定性数据的主题分析
H J M Smelt1, S Pouwels2, L Heusschen3
1Department of Surgery, Catharina Hospital, Eindhoven, NLD.
Cureus
|September 5, 2023
概括
减肥手术后坚持多维生素补充剂 (MVS) 是一个挑战,因为副作用和高成本. 改善患者教育和MVS产品优化是改善遵守和结果的关键.
科学领域:
- 腹部外科 腹部外科
- 营养科学 营养科学
- 患者的坚持 患者的坚持
背景情况:
- 坚持每日多维生素补充剂 (MVS) 对于腹部外科手术 (BS) 后的患者来说是一个重大挑战.
- 了解患者的信念和经验对于改善MVS坚持至关重要.
- 需要有质性的见解来解决终身补充剂的障碍.
研究的目的:
- 识别患者的信念和经验,影响他们遵守BS后的MVS摄入量.
- 探索患者报告的MVS挑战中常见的主题和模式.
- 收集建议,以改善MVS在减肥患者群体中的坚持.
主要方法:
- 对来自荷兰四个减肥中心的1,246名患者的定性数据进行主题分析.
- 对有关MVS摄入体验的开放式问题作答的分析.
- 确定与坚持挑战相关的总体主题.
主要成果:
- 五个主要主题出现了:胃肠道副作用 (68.2%),MVS的负面特征 (23.8%),对建议的满意度 (21.8%),对服务的不满意度 (12.8%) 和成本 (7.5%).
- 专门减肥手术 (WLS) MVS经常与胃肠道问题和高成本有关.
- 患者报告说,信息供应不佳,护理后途中的支持不足.
结论:
- 患者在BS后对MVS的坚持受到胃肠道副作用,MVS特征,建议满意度,服务提供和成本的显著影响.
- 加强患者和医疗保健专业人员的教育是必不可少的.
- 推个性化护理和优化的MVS配方,以提高耐受性和降低成本,最终提高坚持.
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