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没有谢谢,也不适合我:对预康复参与障碍的定性研究
Jacob Clemons1, Zeyi Zhou1, Sydni Au Hoy1
1Department of Surgery, Stanford University School of Medicine, CA.
Surgery
|September 21, 2024
概括
患者经常因为时间不合适,误解和竞争优先事项而拒绝预康计划. 通过改善沟通和灵活性来解决这些障碍是增加参与预康复的关键.
科学领域:
- 手术患者护理手术患者的护理
- 在健康领域的行为科学.
背景情况:
- 预康复计划可以提高外科手术的结果,但患者参与度很低.
- 识别招生和坚持的障碍对计划的成功至关重要.
研究的目的:
- 确定患者入学率下降或患者对预康复计划的遵守率低的主要原因.
主要方法:
- 对11名接受重大腹部手术的成年患者进行半结构面试.
- 利用主题分析与演和归纳编码进行定性数据解释.
主要成果:
- 确定了七个关键障碍:招聘时间,饮食误解,竞争优先事项,缺乏家庭支持,感知效率低下,计划组件担忧和自我排斥.
- 通过11次采访,达到了主题和,显示出高的评分间可靠性 (kappa=0.81).
结论:
- 低参与度限制了预康复的影响.
- 改善沟通,时间,灵活性和定制是提高患者招募和坚持治疗的必要条件.
- 了解患者的准备和担忧对于预康复的行为干预至关重要.
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