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有意义的患者伙伴关系:对患者观点和关于眼外科手术的共同决策的定性研究
Zayn Al-Timimi1, Samrat Sarkar2, Sapna Nand3
1Coffs Harbour Rural Clinical School, University of New South Wales, Coffs Harbour, New South Wales, Australia.
Ophthalmology. Glaucoma
|April 20, 2025
概括
了解患者对玻璃眼外科手术的看法对于共享决策至关重要. 关键主题包括焦虑,信息搜索和对外科医生的信任,突出了改善绿眼治疗中以患者为中心护理的领域.
科学领域:
- 眼科医生 眼科 眼科
- 患者为中心的护理研究研究.
背景情况:
- 有效的以患者为中心的护理需要了解患者的观点,以使临床医生的重点与患者的目标保持一致.
- 眼治疗和微创性眼手术 (MIGS) 的进步需要对患者对手术决策的看法进行最新了解.
研究的目的:
- 探索和理解有关眼外科手术的眼患者的观点和优先事项.
- 质量分析患者的经验和与眼外科手术相关的决策过程.
主要方法:
- 这是一项定性研究,涉及40名参与者的半结构面试 (23名手术后,17名手术前).
- 参与者是患有青光眼的成年人,以年龄,性别,社会经济地位,青光眼严重程度和治疗史的多样性进行抽样.
- 采访通过电话进行,使用患者和外科医生的输入开发的指南;对关键主题进行了成绩单分析.
主要成果:
- 六个关键主题出现了:患者感到忙,寻求信息的负担,潜在的焦虑,受疾病理解影响的感知,对外科医生的信任,以及通过对替代方案的了解获得权力.
- 患者参与的障碍包括焦虑,时间限制和感知到的治疗紧迫性.
- 对外科医生的信任和了解治疗选择被确定为促进患者信心和参与的促进因素.
结论:
- 在眼外科手术中,共享决策尚未完全实现,这表明需要加强患者参与策略.
- 来自这项研究的见解可以为开发以患者为中心的护理方法的发展提供信息.
- 拟议的实践要点旨在优化患者参与和授权在眼外科手术决策.
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