慢性四肢威胁性缺血的诊断过程中的患者经验:一种定性研究
Eleanor Atkins1,2, Ian Kellar3, Panagiota Birmpili1,2
1Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK.
Journal of foot and ankle research
|July 18, 2024
概括
患者的经验揭示了导致诊断慢性四肢威胁性缺血症 (CLTI) 延迟的关键因素. 提高认识和沟通对于及时诊断CLTI和更好的患者护理至关重要.
科学领域:
- 血管外科 血管外科
- 患者体验研究 研究研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性四肢威胁性缺血症 (CLTI) 的诊断往往会延迟.
- 影响这些延迟的患者特定因素尚不清楚.
研究的目的:
- 探索患者的经验和对CLTI护理途径延迟的看法.
- 确定影响CLTI诊断时间的患者因素.
主要方法:
- 与16名最近被诊断为CLTI患者进行的定性访谈研究.
- 进行了半结构面试.
- 使用反射主题分析来分析采访数据.
主要成果:
- 五个主题出现了:CLTI的严重程度,患者不愿寻求帮助,赋权改善护理,运气在诊断中的作用,以及血管单元改善的需要.
- 副主题包括沟通问题和中心类型的影响 (动脉与非动脉).
结论:
- 患者生成的主题突出了导致CLTI诊断延迟的因素.
- 临床医生,委托人和提供者应该考虑这些主题来优化CLTI护理途径.
- 提高公众,患者和临床医生的意识对于及时诊断和干预至关重要.
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