患者在诊断和治疗高分辨率内镜治疗状皮内皮病变的经验:一种定性研究
Peter Borch-Johnsen1,2, Hanna Dubois3,4, Peter T Schmidt2
1Department of Medicine, Ersta Hospital, 116 30 Stockholm, Sweden.
高分辨率内镜提供了一种温和而有效的方式来选和治疗内皮内病变 (ASIL). 患者的经验显示,在与HPV相关的疾病的创新诊断和治疗方法的同时,需要心理社会支持.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 内状细胞癌是一种罕见的HPV相关癌症,前面是内状内皮病变 (ASIL).
- 高分辨率无光镜 (HRA) 是ASIL管理的黄金标准,但面临着有限的可用性.
- 开发了一种使用高分辨率柔性内镜用于ASIL检测,切除和查的新型内镜技术.
研究的目的:
- 探索患者使用新型内镜技术进行ASIL检测,治疗和查的经验.
- 了解这种新的诊断和治疗方式的以患者为中心的方面.
主要方法:
- 一项定性研究,采用半结构面试,对16名参与者进行面试 (7名女性,9名男性;年龄19-72岁).
- 吸收性定性内容分析用于分析采访数据.
- 报告遵循了32项COREQ检查清单,确保了全面的研究文档.
主要成果:
- 患者的经历被分为四个主题:一个安慰的遭遇,对亲密关系的影响,生活在不确定性和身体不适.
- 分析确定了四个主要主题中的每个主题中的特定子类别.
- 参与者的年龄从19岁到72岁不等,这表明该技术的广泛适用性.
结论:
- 高分辨率内镜是诊断和治疗ASIL的一种耐受性良好和有效的方法.
- 与HPV相关疾病的心理影响需要综合心理社会支持.
- 以患者为中心的护理原则对于实施ASIL新型诊断和治疗技术至关重要.
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