预测患者报告在增强恢复计划中接受手术前教育的预测因素
Bayley A Jones1, Alfonsus Adrian H Harsono2, Joshua Richman2
1Department of Surgery, University of Alabama at Birmingha, Birmingham, Alabama; Department of Surgery, University of Texas Southwestern, Dallas, Texas.
The Journal of surgical research
|July 16, 2025
概括
结直肠外科手术患者的手术前教育接收与外科医生,手术类型,手术方法和体重指数 (BMI) 有关. 这些因素是改善患者准备和结果的关键.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科教育的外科教育
- 患者的治疗结果.
背景情况:
- 术前教育对于加强康复计划至关重要.
- 影响患者接受手术前教育的因素尚不清楚.
研究的目的:
- 确定与患者报告在选择性结直肠外科手术中接受手术前教育相关的因素.
- 分析外科医生,手术和患者特征对教育交付的影响.
主要方法:
- 对1175名接受选择性结直肠手术 (2019-2023) 的患者进行了回顾性队列研究.
- 利用增强恢复计划数据和美国外科医生学院国家外科质量改进计划数据.
- 用多变量线性回归和机器学习分类树分析患者报告的手术前教育.
主要成果:
- 87.7%的患者表示接受了手术前教育.
- 与接受更多教育相关的因素包括扩展性胆管切除术,其他手术和微创手术.
- 外科医生,体重指数 (BMI) 和手术类型被确定为关键预测因素,特别是在开放手术中.
结论:
- 外科医生,手术类型,手术方法和BMI与患者报告的手术前教育有显著联系.
- 了解这些因素可以帮助在增强的康复计划中优化手术前教育.
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