相关实验视频
Updated: Jul 2, 2025

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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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患者报告了紧急普通外科手术程序的结果
Pawan J Mathew1, Yasmin M Ali1, Rick O'Connor1
1Section of General Surgery, Trauma, and Surgical Critical Care, Department of Surgery, Yale School of Medicine, New Haven, CT, 06510, USA.
American journal of surgery
|February 27, 2024
概括
紧急手术患者经常感到被排除在决策之外,影响患者报告的结果措施 (PROM). 并发症的严重程度也会影响这些结果,需要为紧急整体手术 (EGS) 量身定制的PROM开发.
科学领域:
- 外科手术患者的经验.
- 医疗保健研究成果研究结果
- 定性研究方法 定性研究方法
背景情况:
- 紧急整形外科 (EGS) 对患者报告的结果测量 (PROM) 提出了独特的挑战,原因是未计划的护理和未知的条件.
- 在EGS中收集和解释PROM很困难.
- 患者在EGS中的经验往往没有充分记录.
研究的目的:
- 为了探索在紧急一般外科手术中术前患者的经验.
- 在EGS中确定影响患者报告结果指标 (PROM) 的因素.
- 为EGS患者开发PROM提供信息.
主要方法:
- 定性和混合方法的研究设计.
- 在住院期间和出院6-12个月后进行的半结构面试.
- 采访结果与临床特征的比较.
主要成果:
- 三分之二的患者感到被排除在决策之外,尤其是女性.
- 轻微的并发症与较低的信任,沟通问题和护理延迟有关.
- 主要的并发症与自信,感恩和沟通限制有关.
- 没有进入ICU的患者报告说,沟通更好,治疗更快.
结论:
- 对于EGS,患者报告的结果措施 (PROM) 应纳入从决策中排除的经验.
- 并发症严重程度对患者感知和结果的影响需要在PROM开发中考虑.
- 未来的PROM应该能够捕捉到更广泛的患者在紧急情况下的反思.
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