患有子宫内膜异位症的患者的手术前期望 - - 定性面试研究
Nina Hirsing1, Yvonne Nestoriuc2,3, Olaf Buchweitz4
1Clinical Psychology and Psychotherapy, Helmut-Schmidt-University, University of the Federal Armed Forces Hamburg, Hamburg, Germany. hirsingn@hsu-hh.de.
BMC women's health
|April 28, 2025
概括
患者的期望显著影响子宫内膜异位症治疗结果. 了解这些期望,包括促进者和障碍,对于改善手术后的生活质量至关重要.
科学领域:
- 生殖医学是一种生殖医学.
- 外科手术的结果
- 患者为中心的护理
背景情况:
- 子宫内膜异位症显著影响生活质量,许多经过手术治疗的患者经历了持续的症状.
- 患者期望对子宫内膜异位症治疗结果的作用尚不清楚.
- 非医学因素可能会影响子宫内膜异位症的术后结果.
研究的目的:
- 探索接受子宫内膜异位症治疗的患者的手术前期望.
- 确定促进治疗结果积极的因素.
- 了解子宫内膜异位症护理中积极结果的障碍.
主要方法:
- 这是一项定性研究,涉及对33名子宫内膜异位症患者进行 laparoscopy 前的采访.
- 使用来自较大的混合方法队列研究的子样本.
- 采用结构化内容分析来解释数据.
主要成果:
- 患者持有积极的期望 (例如,症状解消,诊断) 和消极的期望 (例如,症状持续,疼痛).
- 积极的期望被认为是促进者,以及更好的信息和专业护理.
- 障碍物包括术后疼痛,休息不足,回避行为和压力.
结论:
- 同时存在的积极和消极期望突出显示了患者的希望和潜在的无效疗法效应风险.
- 患者清楚地识别了拉巴镜术后生活质量的促进者和障碍.
- 建议提高患者信息以管理预期并减轻nocebo效应.
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