在选择结肠检查替代方案时,患者的优先事项和决策过程:定性采访研究
Campbell MacLeod1, Shaun Treweek2, Philip Wilson3,4
1Department of General Surgery, Aberdeen Royal Infirmary, Aberdeen, UK campbell.macleod@nhs.scot.
患者优先考虑诊断质量,最小的不适,以及更短的结肠检查等待时间. 改善共享决策可以提高结肠镜和结肠囊内镜 (CCE) 的患者护理.
科学领域:
- 胃肠病学
- 患者的经验
- 医疗决策
背景情况:
- 了解患者的偏好对于优化胃肠道诊断程序至关重要.
- 之前的研究还没有完全阐明患者对结肠检查的优先考虑.
研究的目的:
- 探索患者对决策过程的看法.
- 在结肠检查中确定患者测试属性的优先级.
主要方法:
- 对等结肠镜检查或结肠囊内镜检查的患者进行了定性半结构性电话采访.
- 一个有目的的抽样策略确保了参与者的人口统计和预期测试的多样性.
- 数据使用现象学和主题分析进行分析.
主要成果:
- 患者报告参与决策的情况各不相同,从没有参与到临床医生指导的选择.
- 诊断质量 (准确性,癌症排除) 是最重要的关注点.
- 等待时间,疼痛/不适以及测试的侵入性也是重要的因素.
结论:
- 患者对结肠检查的优先考虑包括诊断准确性,可接受的等待时间和尽量减少不适.
- 需要改善共享决策, 以提高患者的护理和满意度.
- 进一步的研究应量化患者对这些特征的看法.
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