患者对参加一个随机控制的多模式预康复试验的反思,在腹腔 Hernia 修复之前
Sofie Anne-Marie Skovbo Jensen1,2, Siv Fonnes2, Jacob Rosenberg2,3
1Clinical Health Promotion Centre, WHO-CC, the Parker Institute, Bispebjerg and Frederiksberg Hospital, 2000 Frederiksberg, Denmark.
概括
患者 患者 患者 患者
科学领域:
- 外科手术患者的经验.
- 医疗服务研究 医疗服务研究
- 定性研究方法的方法论.
背景情况:
- 调查患者参与小手术多模式预康复随机对照试验 (RCT) 的观点.
- 了解患者对预康复干预措施的决策过程.
研究的目的:
- 探索患者对参与或拒绝预康复RCT的选择的反思.
- 确定影响患者招募到预康复试验的因素.
主要方法:
- 定性研究涉及22个半结构面试的患者进行腹腔修复.
- 采访采用系统文本凝聚 (Kirsti Malterud的方法) 进行分析.
- 参与者包括接受 (n=12) 和拒绝 (n=10) 接受预康复RCT参与的人.
主要成果:
- 五个主题出现了:时间承诺,为公众利益的研究,个人利益,健康/生活方式矛盾以及手术并发症.
- 参与者对预康复计划有积极的看法.
- 那些下降的人对生活方式的改变,个人利益和时间优先级表达了更多的矛盾.
结论:
- 拒绝参加RCT的患者表现出比接受RCT的患者更复杂和矛盾的反思.
- 解决患者对生活方式变化,个人利益和时间的矛盾是改善预康复RCT招募的关键.
- 通过在临床实践中关注这些矛盾因素,可以提高患者对生活方式变化的准备.
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