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在冠状动脉旁路移植之前,心脏病患者面临的挑战:一项定性研究
Sajjad Ebrahimi1, Tayebeh Hasan Tehrani2,3, Azim Azizi4,5
1Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC cardiovascular disorders
|February 28, 2025
概括
接受冠状动脉旁路移植 (CABG) 的患者在手术前面临着重大的心理,财务,社会和精神挑战. 通过咨询,财政援助和改善沟通来解决这些问题,可以提高患者的福祉和外科手术结果.
科学领域:
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
- 医学社会学 医学社会学
背景情况:
- 冠状动脉旁路移植 (CABG) 是严重冠状动脉疾病的重要治疗方法.
- 在接受CABG手术之前,患者往往会遇到相当大的挑战.
- 了解这些手术前的挑战对于改善患者护理至关重要.
研究的目的:
- 为了识别和阐明等待冠状动脉旁路移植手术的患者所面临的多方面的挑战.
- 为了提供一个全面的前手术患者经验的概述.
主要方法:
- 定性传统内容分析.
- 与23名患者,家庭,医生和护士进行半结构化访谈 (共26次访谈).
- 布什尔和哈马丹的有目的抽样,数据使用MAXQDA20.20进行分析.
主要成果:
- 确定了五种主要的挑战类别:心理/社会压力,财务管理,信息/沟通质量,归属感的需求和精神.
- 提取了575个初始代码,分为16个子类别.
- 在CABG之前确定了影响患者体验的关键领域.
结论:
- 前CABG患者面临重大的心理,财务,社会和精神障碍.
- 建议包括加强心理/社会咨询,财政支持,改善医疗保健沟通和精神护理.
- 应对这些挑战可以改善决策,生活质量和手术结果.
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