决定后悔pilonidal疾病的外科治疗后的决定
概括
在柱状病 (PD) 手术中,共享决策 (SDM) 是至关重要的. 糟糕的手术结果,并发症和复发显著增加了患者的决策遗憾,突出了以患者为中心的护理的需要.
科学领域:
- 在pilonidal疾病管理中的手术结果和患者经验.
背景情况:
- 由于缺乏充分的证据和不清楚的最佳治疗策略,pilonidal病 (PD) 管理存在挑战.
- 患者经验和对PD手术干预后的遗憾决定是评估治疗成功的关键因素.
研究的目的:
- 调查患者与共享决策 (SDM) 的经验,以及它对pilonidal疾病手术管理后决策后悔的影响.
- 分析PD患者临床结果,术后并发症,复发和决策后悔之间的关系.
主要方法:
- 前性队列研究 (PITSTOP) 涉及2019年5月至2022年3月期间接受治疗的PD患者.
- 从基线到手术后6个月的定量数据收集,包括患者特征,手术程序,SDM印象,手术结果和决定后悔.
- 多重线性回归分析以评估临床结果和决策遗憾之间的关联.
主要成果:
- 在677名患者中,476名 (71%) 有6个月的随访数据,59.5%接受了重大切除手术.
- 45.1%的人经历了术后并发症. 参与者对SDM的印象总体上是积极的 (中位数CollaboRATE得分:3).
- 术后并发症和疾病复发与更高的决策后悔有显著的关联 (p < 0.001).
结论:
- 临床结果,术后并发症和复发与pilonidal疾病手术中的决策遗憾增加有关.
- 外科医生应该优先考虑SDM,确保患者的优先事项指导pilonidal疾病的治疗方法.
- 积极的SDM经验可能会减轻决策后悔,在PD管理中强调以患者为中心的护理.
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