在直肠形 (PANDA) 研究中,研究家长对直肠扩张的态度
H Thakkar1, V Haffenden2, S Yardley3
1Paediatric General Surgery, Evelina London Children's Hospital, Guys & St. Thomas' NHS Foundation Trust, London, United Kingdom. hemanshoo.thakkar@nhs.net.
Pediatric surgery international
|September 17, 2025
概括
在直肠形手术后进行直肠扩张的父母经历了严重的痛苦和对家庭关系的负面影响. 该研究表明,由于这些不良影响和模两可的临床证据,不建议进行例行扩张.
科学领域:
- 儿科手术 儿科手术
- 定性研究是指质量研究.
- 患者体验 患者体验
背景情况:
- 常规的新鼻扩张有时是由父母进行的,后直肠形手术.
- 最近的证据质疑这些扩张在预防狭窄的有效性.
研究的目的:
- 为了探索父母对执行新鼻扩张的经验和看法.
- 为最佳实践和未来研究提供信息,以了解这一干预措施的临床影响.
主要方法:
- 使用反射主题分析进行定性研究.
- 通过聚焦小组和与家长进行半结构化采访收集的数据.
- 逐字转录的代分析.
主要成果:
- 父母理解扩张的必要性,但经历了严重的痛苦,包括焦虑,害怕伤害和内.
- 父母报告说,在扩张期间,他们感觉到婴儿的痛苦和预期的压力.
- 干预对父母之间的关系产生了负面影响,造成了责任的不平衡.
结论:
- 尽管了解其重要性,但家长仍然忍受与新孔扩张相关的负面经历和关系成本.
- 鉴于模两可的临床证据,不建议在直肠形手术后进行常规的直肠扩张.
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