在接受结直肠癌手术的患者中治疗术后贫血的管理:基于定性焦点组的研究
Samuel Lawday1, Susannah Williams2, Elizabeth James3
1Centre for Surgical Research, Population Health Science, University of Bristol, Bristol, UK.
由于缺乏指导方针和培训,在结直肠癌手术后标准化术后贫血纠正具有挑战性. 改善合作和沟通可以帮助克服这些障碍,以获得更好的患者结果.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 手术护理 手术护理
背景情况:
- 在接受结直肠癌手术的患者中,术后贫血很常见.
- 术后贫血的最佳管理策略尚不清楚.
- 与术前贫血相比,术后贫血的研究有限.
研究的目的:
- 为了调查促进者和障碍标准化术后贫血纠正的障碍.
- 确定结肠直肠癌手术后患者的最佳治疗方法.
主要方法:
- 四个重点小组与29个多学科的医疗保健专业人员进行了讨论.
- 来自两个英国NHS医院的参与者.
- 使用现实主义方法对转录的讨论进行主题分析.
主要成果:
- 确定了关键障碍:缺乏协议化的指导方针,教育/培训不足,以及系统性问题 (财务驱动因素,药物可用性).
- 确定了关键促进者:加强医疗保健专业人员之间的合作和沟通.
结论:
- 确定了改善标准化术后贫血管理的几个障碍和值.
- 结果可以为未来的研究和临床实践指南提供信息.
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