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唇裂患者的唇部手术的决策考虑和策略:一种定性研究

Carroll Ann Trotman¹, Julian Faraway², M Elizabeth Bennett³

¹College of Dentistry, The Ohio State University, Ohio, United States of America.

Journal of dermatology and dermatitis

|June 26, 2024

概括

外科医生外科医生

科学领域:

整形外科整形外科整形外科
面外科手术面外科手术
决策科学决策科学决策科学

背景情况:

裂口唇/口腔 (CL/P) 修复涉及复杂的手术决策.
了解外科医生的决策过程对于优化患者的治疗结果至关重要.
现有的文献缺乏对CL/P手术规划的定性见解.

研究的目的:

质量评估外科医生对CL/P患者的初级和二级唇部修复的决策过程.
确定影响CL/P护理手术选择的关键因素.
为开发临床决策支持工具提供信息.

主要方法:

一项前性非随机临床试验,涉及16名婴儿和32名患有CL/P的青少年.
外科医生 (n=8) 审查了患者的标准化面部成像拼贴 (SAFS).
与外科医生进行了深入采访 (IDI),使用"接地理论"进行分析.

主要成果:

出现的主要主题是:手术时间,风险/益处分析,患者目标,修复计划 (肌肉,痕) 和资源的可用性.
外科医生在诊断和治疗计划方面普遍达成一致.
定性数据为手术决策的细微差别提供了丰富的见解.

结论:

确定的主题为创建临床检查清单提供了有价值的信息.
这份检查清单可以指导临床医生管理CL/P唇部手术.
对外科医生决策的更好理解可以改善患者护理途径.

关键词:

裂嘴唇/口腔裂口是一个问题.临床试验临床试验临床试验临床试验临床试验在决策过程中做出决定.修复唇部修复修复唇部修复唇部修改唇部修改唇部修改质量上的影响是有质量的.

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