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对患者体验的定性分析,以达到尿道整形治疗复发性尿道狭窄性疾病的患者体验
Abimbola Ayangbesan1, George E Koch1, Chloe Dagostino2
1Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee.
The Journal of urology
|October 4, 2023
概括
由于尿道狭窄而经历重复内镜手术的患者经历了生活质量下降和未满足的期望. 确定尿路整形的延迟往往是由外部因素引起的,例如成本和获得护理的机会.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 患者报告的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尿道狭窄疾病经常需要多次治疗.
- 内镜手术是常见的初始治疗方法,但与尿路整形相比,其结果往往不如尿路整形.
- 患者经常经历多次内镜干预,然后才选择最终的尿路造形术.
研究的目的:
- 质量评估患者在尿路整形方面的经验.
- 了解前期内镜手术对生活质量的影响.
- 确定影响尿路整形决定和时间的因素.
主要方法:
- 一项涉及半结构化的电话采访的定性研究.
- 在至少两次先前的内镜手术后接受了尿路整形的患者被招募.
- 采访被编码和分析使用一个代的诱导-演方法.
主要成果:
- 近一半的尿路整形患者 (47.6%) 曾经接受过两次或更多的先前内镜手术.
- 关键主题包括未满足的治疗期望和对重复手术的不满.
- 反复出现的收缩症状和治疗对患者的生活质量产生了负面影响.
结论:
- 生活质量下降和未满足的期望推动了对尿路整形的决定.
- 经济上的限制,外科医生的准入,以及工作时间的延迟最终的治疗.
- 改善患者咨询和获得专业护理对于尿道狭窄管理至关重要.
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