了解妇科手术期间的患者体验:一种定性探索性研究
Deepti Divya Gopisetty1, India Rogers-Shepp2, Elisa Padron2
1Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California, USA dgopisetty@stanford.edu.
BMJ sexual & reproductive health
|February 12, 2025
概括
改善妇科手术需要以人为中心的护理,专注于患者的准备,临床医生关系,自主性和疼痛管理. 增强的支持和信息是积极患者体验的关键.
科学领域:
- 生殖健康 生殖健康
- 患者体验研究 研究研究
- 质量健康研究 质量健康研究
背景情况:
- 在妇科手术期间,疼痛和焦虑是常见的,但往往治疗不足.
- 关于疼痛管理的现有研究在理解促进者和阻碍积极患者体验的障碍方面存在差距.
- 这项研究探讨了在妇科手术过程中超出疼痛之外影响患者体验的因素.
研究的目的:
- 探索影响妇科手术期间患者体验的因素.
- 识别积极的程序经验的促进者和障碍者.
- 在生殖健康中为以人为中心的护理策略提供信息.
主要方法:
- 深度,半结构面试的定性主题分析.
- 方便采样15名参与者,他们有从事诸如宫内节育器插入,手术堕胎,结肠镜检查和子宫内膜活检等手术的经验.
- 以人为中心的护理框架为导向的主题分析生殖健康公平 (PCFRHE).
主要成果:
- 四个主要主题出现了:平衡准备和焦虑,可变的临床医生关系,自我倡导和自主权,以及临床医生对疼痛的反应.
- 这些主题提供了关于患者如何处理他们的手术经验的见解.
- 患者与医疗服务提供者的互动和感知到的控制显著影响了体验.
结论:
- 在一个包容,对创伤有反应的环境中以人为中心的护理对于增强妇科手术经验至关重要.
- 为临床医生提供访问前后信息和提供舒适选择是可行的步骤.
- 改善手术前教育和支持对于改善患者的治疗结果至关重要.
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