探索胸部动脉损伤术周围手术过程中的种族差异
Nora Bacour1, Aytug U Tirpan1, Simran Grewal2
1Department of Cardiothoracic Surgery, Amsterdam University Medical Center Location AMC, Amsterdam, Netherlands.
Frontiers in cardiovascular medicine
|December 3, 2025
概括
胸部动脉损伤术后康复受到沟通缺口的影响,特别是对于少数民族来说,他们报告了更高的焦虑和更少的信息清晰度. 量身定制的指导对于公平的患者护理和改善结果至关重要.
科学领域:
- 心血管外科心血管外科
- 患者的治疗结果.
- 健康差异 在健康上的差异
背景情况:
- 胸腔动脉损伤患者因不一致的沟通而面临恢复挑战.
- 具体的患者需求,特别是跨种族群体,需要进一步调查.
- 改善外科手术指导对于更好的外科手术结果至关重要.
研究的目的:
- 为了检查胸部动脉形病的周围手术过程.
- 为了确定患者在康复期间的具体需求.
- 分析外科手术前经验中的种族差异.
主要方法:
- 对189名患者 (2000-2023) 的回顾性,横截面研究.
- 调查问卷评估了手术前,手术期间和手术后的经验.
- 二元回归模型比较了少数民族和少数民族之间的结果,并按类型进行了对比.
主要成果:
- 少数民族患者报告了更高的手术后焦虑 (20.0%对5.4%) 和手术后信息的清晰度较低 (p=0.035).
- 急性大动脉剖析患者在术前信息的清晰度较低 (p=0.003) 和对康复预期的理解程度较低 (p<0.001).
- 包括174名少数民族患者和15名少数民族患者,其中有115例A型大动脉剖析和74例胸前大动脉动脉瘤.
结论:
- 术前和术后教育对于胸部动脉形患者至关重要.
- 术后焦虑和沟通清晰度的种族差异需要有针对性的干预措施.
- 定制指导对于改善康复和确保所有患者获得公平护理至关重要.
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