荷兰老年关节骨折管理决策中的患者和代理观点:一种定性研究
Duco Laane1, Thamar Kroes2, Arda van den Berg3
1Department of Trauma Surgery, St Antonius Hospital Location Utrecht, Utrecht, Netherlands d.laane@antoniusziekenhuis.nl.
BMJ open
|June 10, 2024
概括
老年人骨折患者及其代理人在决定手术和息治疗之间时,重视生活质量和清晰的沟通. 个性化,敏感的信息对于共享决策至关重要.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 抚慰性护理是一项非常重要的护理.
背景情况:
- 老年人关节骨折会导致复杂的治疗决策.
- 在这种人群中,以患者为中心的护理,共享决策至关重要.
研究的目的:
- 探索患者和代理人对老年关节骨折治疗决策的观点.
- 了解影响手术和息治疗之间选择的因素.
主要方法:
- 与老年关节骨折患者及其代理人的定性访谈研究.
- 使用反射主题分析分析的半结构面试.
主要成果:
- 五个主题出现了:患者价值观,信息提供,决策理由,参与和期望实现.
- 患者和代理人优先考虑生活质量;结果差异对体验产生了负面影响.
- 信息传递的细节各不相同,但始终包括手术和息治疗的好坏.
结论:
- 经验的多样性凸显了在共享决策中需要以人为中心的方法.
- 医生应该提供现实的,敏感的,及时的治疗选择和预后信息.
- 有效的沟通和现实的期望管理是老年人骨折护理决策的关键.
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