患者和脊椎外科医生关于腰椎手术决策和结果的观点:一项探索性,定性研究
Ling Jie Cheng1, Nan Luo2, Le Ann Chen1
1Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #11-01D, Singapore, 117549, Singapore.
The patient
|November 26, 2024
概括
患者报告的结果 (PROs) 显著影响腰部手术决策,转向共享决策. 整合PRO可以通过以患者为中心的护理提高患者满意度和外科结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 患者报告的结果
- 共享的决策方式
背景情况:
- 腰椎手术决策是复杂的,受患者期望和赋权的影响.
- 患者报告结果 (PROs) 在指导这些决策中的作用需要进一步探索.
- 了解患者和外科医生的PRO视角对于优化外科决策至关重要.
研究的目的:
- 探索患者和脊椎外科医生对腰部手术决策的看法.
- 调查手术前和后PROs在这个过程中的相关性和影响.
主要方法:
- 一项从2022年2月到2023年11月进行的探索性定性研究.
- 15名患有退行性腰部疾病的患者和9名脊椎外科医生参与了这项研究.
- 使用成员检查,反射期刊和数据三角化进行框架分析确保了有效性.
主要成果:
- 关键主题包括期望,结果,决策赋权和手术经验.
- 观察到一种倾向于共享决策和以患者为中心的方法.
- 患者优先考虑疼痛和功能,外科医生专注于结果和避免并发症.
- 使用PRO数据的决策支持工具至关重要,但需要更好地整合;积极的经验来自于清晰的沟通和信任.
结论:
- 以患者为中心的方法,特别是利用手术前和后的PRO,在腰部手术决策中至关重要.
- 实施这些方法可以提高患者的满意度和外科手术结果.
- 手术界应该优先考虑知情,有同情心的决策,以提高医疗保健质量.
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