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Updated: Sep 9, 2025

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邀请研究:切口的预防:从患者的角度来看的预防性网

Laurie Smith^1,2, Laura Knight³, Alun Meggy⁴

¹Department of Colorectal Surgery, University Hospital of Wales, Cardiff, UK. Laurie.smith@wales.nhs.uk.

Hernia : the journal of hernias and abdominal wall surgery

|September 4, 2025

概括

尽管有负面的看法,但大多数患者认为网状预防可用于减少切口. 患者教育和共享决策是影响网格可接受性的关键因素.

科学领域:

外科创新
患者的结果
医疗设备的感知

背景情况:

在高危的手术患者中,网状预防显著降低了切口的发生率.
尽管有证据,但在美国和英国,网状预防的采用率很低,这可能是由于公众对手术网状的负面看法.
了解患者的观点对于增加网状预防的利用至关重要.

研究的目的:

评估患者接受腹壁封闭的网状预防方法.
确定影响患者接受手术网的因素.
提供以患者为中心的资源,以支持网状预防.

主要方法:

一项融合混合方法研究,涉及332名接受腹部手术的患者.
通过关于网格知识和意见的问卷收集的定量数据 (n=120个答案).
通过对部分患者进行半结构面试 (n=12) 和主题分析收集的定性数据.

主要成果:

超过60%的患者听说过手术网,
尽管有50%的受访者对此有预先的担忧,但91%的受访者认为网状预防是可以接受的.
质量分析揭示了"网格知识"",网格可接受性"和"共享决策"的主题.

结论:

对于患者来说,网状预防通常是可以接受的,即使之前有负面的看法.
患者信息传递和共享决策对网格的可接受性有重大影响.
需要对外科医生障碍进行进一步的研究,以便更广泛地实施预防性网.

关键词:

实施情况切口网格预防预防措施

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