85岁以上患者对小腹动脉动脉瘤监测的患者感知
Summer Jones-Webster1, Miles Davenport1, Sayuri Weerakkody1
1Psychology Department, Swansea University, Swansea, Wales, UK.
Annals of vascular surgery
|April 8, 2024
概括
大多数患有小腹动脉动脉瘤 (AAA) 的老年患者在监测下感觉更安全,但他们对AAA在门管理的理解很差,影响决策.
科学领域:
- 血管外科 血管外科
- 患者的决策能力
- 健康心理学 心理健康心理学
背景情况:
- 当地实践包括与年龄≥85岁的患有小腹动脉动脉瘤 (AAA) 的患者讨论停止监测.
- 患者选择继续或停止监视的原因尚不清楚.
- 这项研究探讨了影响监视决策的患者认知.
研究的目的:
- 调查患者对小腹动脉动脉瘤 (AAA) 监测决策的观点.
- 确定影响老年患者对AAA监测的选择的因素.
- 了解患者对AAA管理门和手术风险的理解.
主要方法:
- 使用电话调查和半结构面试的混合方法方法.
- 包括年龄≥85岁的小AAA (30-49毫米) 患者,他们同意讨论监测.
- 探索影响持续监督决策的因素.
主要成果:
- 在接受采访的24名患者中,66%的人选择继续监视,并重视其提供的安全感.
- 大多数患者认为他们了解AAA管理在值 (5.5厘米) 和手术风险,但知识很差.
- 发现的关键主题是依赖专业意见,渴望心灵平静,以及普遍缺乏理解.
结论:
- 尽管发现监测令人放心,但老年患者在临床上对AAA管理的了解很差.
- 对值管理和外科手术影响的不充分理解可能会影响监测决策.
- 改善对AAA管理的患者教育对于支持老年患者的共同决策至关重要.
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