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患者在直肠癌手术后适应肠道功能障碍的观点
Michael F Maalouf1, Anna Wang1, Stephan Robitaille1
1Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
概括
患者通过改变生活方式和寻求支持来适应直肠癌手术后的肠道功能障碍. 了解这些患者的观点可以提高直肠癌患者的护理质量.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 质量健康研究 质量健康研究
背景情况:
- 肠道功能障碍是一个常见的和重大挑战影响直肠癌手术后的生活质量.
- 患者自我赋权和适应是管理肠道功能障碍的关键.
- 关于患者在直肠癌手术后适应肠功能障碍的观点,存在有限的定性数据.
研究的目的:
- 探索和理解患者在直肠癌手术后适应肠功能障碍的观点.
- 在肠道功能障碍的背景下,确定患者重视的改善生活质量的策略.
主要方法:
- 一项定性研究涉及54名接受了直肠癌手术并保留了关节的成年患者的半结构化电话采访.
- 排除标准包括在招募后一年内进行手术,永久性静脉栓塞,复发或转移.
- 采用主题分析来确定有帮助的适应,使用低前切除综合征 (LARS) 评分来评估肠道功能障碍.
主要成果:
- 四个主要主题出现了:生活方式的变化,支持性关系和自我同情,沟通和资源获取,以及适应社会/文化挑战.
- 其中的子主题包括前性规划,自我同情和解决社会耻辱.
- 患者群体表现出不同程度的LARS:39%没有LARS,22%小LARS和39%大LARS.
结论:
- 患者对适应肠道功能障碍的看法提供了超越当前文献的宝贵见解.
- 这些发现支持以患者为中心的方法,以提高直肠癌幸存者的治疗结果和护理质量.
- 了解患者驱动的适应对于改善直肠癌治疗后的生活质量至关重要.
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