提供者对阴道整形术后扩张的方法的定性评估
Chapin Spence1, Hadley Beauregard2, Elizabeth R Boskey3
1Division of Gynecology, Department of Surgery, Boston Children's Hospital, Boston, Massachusetts; University of Washington School of Medicine, Seattle, Washington.
Journal of pediatric and adolescent gynecology
|December 7, 2024
概括
外科医生报告了成功的各种定义和不一致的培训,用于后阴道整形扩张. 这凸显了对标准化方案的需求,以改善患者的治疗结果,并确保一致的护理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 确认性别的护理
背景情况:
- 手术后的阴道整形护理往往涉及患者主导的扩张,以保持通透性.
- 目前的扩张实践缺乏标准化的协议和跨不同手术方法的比较研究.
研究的目的:
- 调查外科医生的态度和目前的阴道造形术后扩张的协议.
- 确定扩张实践中的差距,并为未来的研究提供信息,以改善结果.
主要方法:
- 半结构面试与10名专门从事阴道整形手术的医疗保健提供者 (9名外科医生,1名护士) 进行.
- 对转录的采访进行了主题分析,以确定扩展实践中的关键主题.
主要成果:
- 扩张成功的可变定义,包括以患者为中心和解剖学结果.
- 扩张技术显著缺乏标准化,对培训和实践感到丧.
- 在扩张教育中对行为健康的临时纳入,通常被认为是必要的,但不是正式的协议.
结论:
- 临床医师的经验显示,阴道造形术后扩张的方法各不相同.
- 在培训和实践中发现缺乏标准化需要进一步的研究.
- 当前研究中的差距阻碍了基于证据的扩张最佳实践的发展.
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