在大关节骨损伤发生后,患者分享决策的经验:一种定性采访研究
Natasha Maher1, Maria Clare Moffatt2, Felicity Astin3
1Calderdale Royal Hospital, Calderdale and Huddersfield NHS Foundation Trust, Halifax, UK.
患有移位关节骨损伤的患者经常觉得在共同决策中没有得到支持,对治疗影响的理解有限. 需要更多的支持,在医疗保健中做出知情,偏好敏感的选择.
科学领域:
- 整形外科 整形外科 整形外科
- 患者体验 患者体验
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 对于以患者为中心的护理至关重要.
- 对于骨科损伤,如移位关节骨骨折,有效地实施SDM仍然是一个挑战.
研究的目的:
- 为了探索患者经验与搬迁关节骨损伤后的共享决策.
- 了解伤害理解如何影响治疗决策.
主要方法:
- 使用半结构面试进行的描述性定性研究.
- 对字面采访成绩单的感应主题分析.
- 参与者从三家英国国家卫生服务医院招募.
主要成果:
- 三个新兴的主题:伤害理解,影响决策的因素和SDM经验.
- 患者对受伤的解释和临床医生的语言显著影响了决策.
- 许多患者报告说,不确定性和感觉转向临床医生喜欢的治疗方法,缺乏充分的理解.
结论:
- 这项研究是对移位关节骨损伤的SDM的第一个定性探索.
- 患者在SDM中面临挑战,通常参与和理解治疗影响有限.
- 需要加强支持,以确保患者根据个性化护理目标做出知情,偏好敏感的决策.
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