探索用于实施新型图像引导的微创手术的障碍和促进因素:导航支气管镜检查的全国性经验
Ferhat Beyaz1, Renée M Geraats2, Roel L J Verhoeven2
1Department of Pulmonary Diseases, Radboud University Medical Center, Nijmegen, Netherlands ferhat.beyaz@outlook.com.
BMJ open respiratory research
|July 22, 2025
概括
对肺结节进行形束CT导航支气管镜检查 (CBCT-NB) 的实施面临财务和技能障碍,但患者安全和合作有助于实现这一目标. 了解这些因素是成功收养的关键.
科学领域:
- 肺部病理学 肺部病理学
- 医疗成像医学成像
- 干预性肺病学 干预性肺病学
背景情况:
- 早期的肺癌通常以无症状的形式呈现,通过医学成像检测到的外围肺结节.
- 圆束CT导航支气管支气管镜 (CBCT-NB) 为这些结节的组织诊断提供了一种最小入侵的方法.
- 本研究探讨了荷兰CBCT-NB在全国范围内临床实施的障碍和促进因素.
研究的目的:
- 调查在全国范围内影响形束CT导航支气管支气管镜 (CBCT-NB) 临床实施的障碍和促进因素.
- 确定可以优化采用这种创新的诊断程序的关键因素.
主要方法:
- 进行了深入的半结构面试和焦点小组,与13名医疗保健专业人员进行了深入的半结构面试,并领导了荷兰八家医院的CBCT-NB实施.
- 利用更新的实施研究综合框架 (CFIR) 来指导面试问题和数据分析.
主要成果:
- 在所有CFIR领域确定了52个促进者和38个障碍.
- 关键的促进者包括患者安全,报销,未来的需求,积极的领导者和区域合作.
- 主要障碍包括财务限制,资源不确定性,技能获取需求和时间投资.
结论:
- 形束CT导航支气管支气管镜 (CBCT-NB) 被认为是诊断肺结节的有价值的创新.
- 了解已识别的障碍和促进者对于制定有效的实施策略至关重要.
- 优化实施策略对于成功地在全国范围内采用像CBCT-NB这样的创新最小侵入性图像引导程序至关重要.
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