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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Updated: Jan 14, 2026

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关于主要下肢截肢的共享决策的挑战:PERCEIVE定性研究

Hayley Prout1, Cherry-Ann Waldron2, Brenig Gwilym3

  • 1Centre for Trials Research, Cardiff University School of Medicine, Cardiff, Cardiff, UK ProutH@cardiff.ac.uk.

BMJ open
|January 12, 2026
PubMed
概括

由于患者的理解和专业实践,重大下肢截肢的共享决策面临挑战. 培训医疗保健专业人员对于提高患者的信心和对截肢决定的知情同意至关重要.

关键词:
截肢,外科手术 截肢,外科手术决策 决策 决策 决策糖尿病足患者的糖尿病足.患者参与 患者参与质量研究 质量研究血管外科 血管外科

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科学领域:

  • 血管外科 血管外科
  • 患者的决策能力
  • 质量健康研究 质量健康研究

背景情况:

  • 主要的下肢截肢是慢性肢体威胁性缺血或糖尿病足的高风险决定.
  • 倡导共享决策 (SDM),但其在截肢中的应用尚不清楚.

研究的目的:

  • 探索主要下肢截肢的沟通,同意,风险预测和决策过程.
  • 在这种情况下,研究有效的SDM所面临的挑战.

主要方法:

  • 使用与患者和医疗保健专业人员进行半结构面试的定性研究.
  • 对面试成绩单进行主题分析.
  • 在英国血管中心进行的研究 (2020-2022).

主要成果:

  • 确定了五个挑战类别:有限的患者理解,可变的患者态度,专业挑战,外科医生父权主义和决策后悔.
  • 这些因素阻碍了截肢案件的有效共享决策.

结论:

  • 主要的下肢截肢涉及改变生活的决定,具有重大后果.
  • 对SDM的挑战仍然存在,需要为医疗保健专业人员提供有针对性的培训.
  • 加强培训可以提高患者的信心和明智的决策.