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在皮肤外科和莫斯微图外科手术中优化患者坚持的实用干预:一篇评论

Daniel J Lewis^1,2

¹Department of Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]

|June 26, 2025

概括

改善患者在皮肤外科手术中的坚持,包括莫斯微图手术 (MMS),对于成功的治疗结果至关重要. 这项研究详细介绍了基于证据的实用干预措施,以提高患者的坚持和预防并发症.

科学领域:

皮肤病学皮肤病学
外科手术的结果
患者坚持的研究研究.

背景情况:

患者不坚持治疗显著影响治疗成功,导致治疗结果差,医疗费用增加.
在皮肤外科手术和莫斯微图手术 (MMS) 中,低于最佳的粘附率很普遍,影响了手术结果.
不良的粘附可以导致未经治疗的皮肤癌,诸如膜缩等并发症,以及降低患者满意度.

研究的目的:

为皮肤外科医生提供有针对性的,实用的干预措施.
改善患有不良粘附风险的患者的治疗结果.
为了提高患者在皮肤外科手术程序中的遵从性.

主要方法:

在MEDLINE和Scopus中进行文献搜索,寻找有关皮肤外科手术遵守的文章.
评估文章的证据水平和指定的等级建议.
使用了牛津证据医学中心的评分系统.

主要成果:

确定并描述了36种干预措施,以提高患者的坚持.
干预利用行为原则,如定和突出.
这些策略适用于术前,术后和术后阶段.

结论:

皮肤外科手术和MMS中不粘附是常见的问题,导致并发症和低于最佳的结果.
评估不遵守的原因是有效管理的关键.
实施实际干预措施可以优化患者的坚持和手术结果.

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