外科医生在紧急一般外科手术中识别和管理营养不良时所面临的障碍:一种定性研究
Daniel L Ashmore1,2, Daniel M Baker3, Timothy R Wilson2
1School of Medicine and Population Health, Faculty of Health, University of Sheffield, Sheffield, UK.
概括
外科医生在紧急整形外科 (EGS) 患者中识别和管理营养不良时面临着许多障碍. 改善外科医生的教育,协作和资源对于更好的营养护理至关重要.
科学领域:
- 手术 手术 手术 术 术
- 营养科学 营养科学
- 医疗保健管理的管理
背景情况:
- 在接受紧急手术的患者中,营养不良很普遍.
- 准确识别营养不良对于有效的营养支持至关重要.
- 目前对外科医生如何识别营养不良和相关障碍的理解是有限的.
研究的目的:
- 探索咨询外科医生如何在紧急整形外科 (EGS) 患者中识别营养不良.
- 确定影响外科医生临床决策的障碍,包括对EGS进行营养评估和干预.
主要方法:
- 半结构面试与三个医院的18名咨询外科医生进行了半结构面试.
- 在使用NVivo软件进行数据分析时,采用了诱导式的框架方法.
- 面试继续进行,直到数据和,确保全面的数据收集.
主要成果:
- 营养不良的识别受到外科医生相关因素 (知识,经验),患者特征 (临床进展) 和机构方面 (合作) 的影响.
- 障碍包括外科医生相关的问题 (理解,时间限制),机构挑战 (人员,资源) 和更广泛的上下文因素.
- 这些因素影响了对手术风险和营养支持途径的临床决策.
结论:
- 严重的障碍阻碍了EGS的营养不良的识别和管理.
- 需要改善外科医生教育,培养协作文化,加强机构资源.
- 解决这些障碍对于优化EGS患者的手术和临床决策至关重要.
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