患者对复发性白炎的结肠切除术的看法:一种定性研究
Alexander T Hawkins1, David F Penson2,3, Timothy M Geiger1
1Division of General Surgery, Section of Colon & Rectal Surgery, Vanderbilt University Medical Center, Nashville, TN.
Annals of surgery
|February 6, 2024
概括
患者根据手术信仰,心理社会因素和适度影响来权衡复发性分泌炎的切除术决定. 了解这些患者的看法是优化管炎护理的关键.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术决策的制定能力
- 患者报告的结果
背景情况:
- 复发性分炎的治疗决定是偏好敏感的.
- 患者对选择性切除术的看法尚不清楚.
- 需要进行定性研究来探索患者的决策过程.
研究的目的:
- 了解患者在治疗复发性分泌体炎时的分泌器切除术的决策过程.
- 确定影响患者选择选择性切除术的关键主题.
- 开发一个概念框架,用于患者在复发性膜炎的决策.
主要方法:
- 使用重点小组与患有复发性分炎的患者进行定性研究.
- 在美国三个中心进行.
- 采用了一种代的诱导/演方法,从编码数据中开发一个概念框架.
主要成果:
- 39名患者参加了6个重点小组.
- 关键主题包括关于手术的信念 (规范性,控制性,预期结果),行为管理,情绪体验,症状和生活质量.
- 缓解因素包括临床病史,临床方案和提供者特定的因素.
结论:
- 患者对切除术的决定涉及对手术,心理社会背景和适度因素的信念.
- 这种理解对于临床医生来说至关重要,他们可以为考虑切除肠道的患者提供咨询.
- 通知研究人员,以优化治疗复发性膜炎是必不可少的.
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