适应暂时性与永久性骨髓切除:对调查答案的定性分析
Ian Whiteley1, Fiona F Stanaway2, Sue Randall3
1Concord Repatriation General Hospital, The University of Sydney Faculty of Medicine & Health, Concord, NSW 2139, Australia.
适应临时或永久的口腔切除术显示出更多的相似之处,而不是差异. 了解这些常见的适应性挑战,是对患者的支持和改善结果的关键.
科学领域:
- 医疗和外科护理 医疗和外科护理
- 心理社会适应 心理社会适应
- 定性研究方法 定性研究方法
背景情况:
- 有限的研究存在于临时与永久性口腔切除的个体的独特调整经验.
- 定性见解对于理解个人对适应骨生活的观点至关重要.
- 现有证据表明,基于瘤的永久性,恢复生命的时间表可能存在差异.
研究的目的:
- 为了比较和对比临时和永久的 ostomies 的适应和调整过程.
- 探索个人适应新的口腔切除的实践经验.
- 为了识别瘤调整中常见的主题,无论瘤类型如何.
主要方法:
- 一个多中心的,纵向的观察性研究设计.
- 在Ostomy调整清单 (OAI-23) 中包含开放式问题.
- 从700名被招募的参与者中对626个定性答案进行了主题分析.
主要成果:
- 对所有患者来说,瘤形成需要相当长的适应期.
- 出现了三个总体主题:适应身体变化,应对新的生活环境和心理适应.
- 临时性和永久性骨髓瘤组之间的调整过程中的相似之处比差异更为突出.
结论:
- 适应暂时和永久的口腔切除术是一个连续的旅程,具有共同的影响因素.
- 识别骨调整的共同点可以为更好的服务规划和患者护理提供信息.
- 进一步研究骨干调整对于优化骨干支系统至关重要.
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