血管接入决策中的信息需求:对患者和临床利益相关者的观点进行定性研究
Karen Stevenson1, Ramsay Meiklem2, Matt-Mouley Bouamrane3
1Glasgow Renal and Transplant Unit, Queen Elizabeth University Hospital, Glasgow, UK.
The journal of vascular access
|January 29, 2025
概括
患者和医疗保健专业人员需要一致,可靠的信息,以做出明智的决定关于血液透析血管接入 (VA) 选项. 了解患者的观点是共同决策的关键在血管接入策略中.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 血管外科 血管外科
- 患者教育 患者教育
背景情况:
- 实施以患者为中心的血液透析血管接入 (VA) 护理是复杂的,因为不同的策略和结果.
- 对VA决策的利益相关者信息需求需要探索以支持以患者为中心的战略.
研究的目的:
- 探索和描述利益相关者对血液透析血管接入 (VA) 决策的信息需求的观点.
主要方法:
- 对焦点小组讨论的专题分析 (n=7) 涉及14名患者和12名血管接入专业人员.
- 数据包括网上和面对面的焦点小组的成绩单,帖子笔记和文本回复.
主要成果:
- 确定关键信息需求:了解选择,风险/收益,长期战略和个人影响.
- 发现了所有利益相关者普遍需要一致和可靠的信息.
- 患者有各种VA模式的经验,包括动脉静脉囊 (AVF),动脉静脉移植 (AVG) 和道化袖带中央静脉导管 (TCVC).
结论:
- 在VA的共享决策需要解决患者和临床医生的信息差距.
- 一个框架模型可以指导开发以患者为中心的VA决策的教育资源.
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