患者对消极尾切除和疑似尾炎手术的态度:一个定性采访研究
Siri Rønholdt Henriksen1, Hanne Konradsen2, Jacob Rosenberg2
1Department of Gastroenterology, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark. siri_henriksen@hotmail.com.
由于疑似尾炎而接受手术的患者通常会被切除正常的尾. 他们报告说信息稀缺,缺乏参与决策,担心麻醉和潜在的并发症.
科学领域:
- 外科手术患者的经验
- 质量健康研究 质量健康研究
背景情况:
- 尾切除术是一种常见的尾炎手术.
- 偶尔,患者因尾炎而接受手术,但被切除一个正常的尾.
研究的目的:
- 为了调查患者对接受尾炎手术的观点,当尾被发现是正常的.
- 探索患者参与关于正常尾切除的治疗决策.
主要方法:
- 符合COREQ指南的定性研究.
- 与15名参与者进行了半结构面试,这些参与者被切除了一个正常的尾或进行了阴性尾切除.
- 文字采访成绩单的内容分析.
主要成果:
- 四个主要主题出现了:发现组织病理学结果,对正常尾切除的看法,有限的共享决策,以及对麻醉和尾破裂风险的焦虑.
- 患者报告说,手术前和后的信息很少.
- 参与者不知道组织病理学发现,也没有参与决策.
结论:
- 患者经历了缺乏信息和参与有关尾切除的决策.
- 对麻醉的焦虑和尾破裂的风险是参与者的重大担忧.
- 对于接受尾切除手术的患者,需要改善沟通和共享决策.
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