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在脊髓损伤后选择结肠直肠术:一个有根据的理论研究研究
Michelle Louise Boucher1, Leslie Gelling2, Desiree Tait2
1Salisbury NHS Foundation Trust, Salisbury, UK.
Journal of clinical nursing
|September 22, 2023
概括
脊髓损伤 (SCI) 患者经常经历肠道功能丧失. 关于肠道管理 (包括结肠术) 的知情选择可以改变生活,并且需要患者参与制定指南.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 质量健康研究 质量健康研究
背景情况:
- 在脊髓损伤 (SCI) 后的肠道管理方面的专业指南并不总是被遵循.
- 越来越多的SCI患者选择了早期结肠直肠切除,偏离了推.
研究的目的:
- 探索SCI患者在肠道管理方面的生活经验和决策过程.
- 了解选择结肠直肠术的原因,特别是当它偏离了既定的指导方针时.
主要方法:
- 有根据的理论方法.
- 与12名脊髓损伤患者进行半结构面试.
主要成果:
- 所有参与者都经历了与肠道功能相关的损失.
- 选择结肠直肠切除是变革性的,与"再次活着"相似,特别是在使用其他方法"遭受痛苦"之后.
- 失败的护理影响了患者的经验和有关肠道管理的决定.
结论:
- 信息获取和患者选择对于改善SCI后的生活质量至关重要.
- 目前的神经性肠道管理指南没有充分考虑患者的更广泛的生活环境.
- 以患者为中心的方法和指导方针的共同构建对于有效的SCI肠道管理至关重要.
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