对性结肠炎患者改善共享决策的障碍和机会:一种定性研究
Alexis A Webber1, Ariel Nehemiah2, Alexis Graham-Stephenson3
1Department of Surgery, Albany Medical Center, Albany, NY, United States.
概括
为性结肠炎 (UC) 接受手术的患者希望在共享决策 (SDM) 中有更多的代理权. 改善外科医生沟通和提供更好的准备可以提高患者的满意度和准备进行手术.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在性结肠炎 (UC) 手术中,共享决策 (SDM) 是复杂且不太了解的,特别是在多样化的患者群体中.
- 有效的SDM可以改善以患者为中心的护理,但患者的经验仍未得到充分探索.
研究的目的:
- 为了探索患者报告的障碍和促进SDM的方便者在接受了UC手术的个人中.
- 确定影响患者体验与UC手术决策的关键因素.
主要方法:
- 多站点定性研究,采用半结构面试对26名UC手术患者进行.
- 通过IBD患者登记册和在线UC支持小组招募.
- 对采访的分析,重点关注手术前咨询,手术后支持,感知选择和改善护理机会.
主要成果:
- 许多患者觉得他们在手术决策中只有有限的选择.
- 促进者包括早期的外科讨论,强大的外科医生关系和社会支持.
- 障碍包括外科医生关系不佳,缺乏支持,对骨头的恐惧和财务压力. 透明度和为并发症做好准备至关重要.
结论:
- 患者重视诚实,协作性的讨论,并希望有更多的行动和准备.
- 标准化的SDM工具,如患者决策辅助工具,可以提高沟通,满意度和手术准备.
- 解决障碍和利用促进者可以改善UC手术中的SDM.
相关概念视频
Inflammatory Bowel Disease V: Surgical Management
225
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
225
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
430
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
430
Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
Inflammatory Bowel Disease I: Ulcerative Colitis
345
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
345
Chronic Pancreatitis II: Collaborative Care
131
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
131
Drugs for Treatment of Ulcerative Colitis in IBD
244
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
244


