对接受心脏门手术的患者进行预期式干预的以患者为中心的评估:一种定性研究
Caroline Clifford1, Evaldas Girdauskas2, Susanne G R Klotz3
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Frontiers in cardiovascular medicine
|March 1, 2024
概括
接受心脏门手术的患者发现以期望为中心的干预措施有助于康复. 关键的好处包括更好的准备和情感支持,尽管解决耻辱是一个挑战.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随机对照试验 (RCT) 证实,以期望为重点的干预措施可以改善心脏手术的恢复.
- 在日常医疗保健中传播这些干预措施需要了解患者的观点.
- 这项研究的重点是接受心脏门手术的患者.
研究的目的:
- 探索患者对心脏门手术后预期型干预措施的感知益处.
- 确定患者与这些干预相关的特定需求.
- 从患者的角度调查潜在的障碍和不良影响.
主要方法:
- 定性研究涉及与18名患者进行半结构面试.
- 干预是RCT中手术后增强恢复 (ERAS) 计划的一部分.
- 干预后六周进行了采访,并使用定性内容分析进行了分析.
主要成果:
- 五个主要主题出现了:个人需求,期望/情绪,关系,沟通和个性.
- 患者重视手术准备和情绪处理.
- 挑战包括建立信任和解决与心理支持相关的耻辱感.
结论:
- 以期望为重点的干预措施被认为是有帮助的,没有报告的不良影响.
- 益处包括在手术和康复期间加强个人控制.
- 解决患者的需求和潜在的耻辱需要进一步的研究和量身定制的干预方法.
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