呼吁采取行动:在糖尿病患者膝下截肢病例中加强患者发起的沟通,以改善伤口中心的结果
Isabel Snee1, Rachel N Rohrich2, Victoria H Kim1
1Georgetown University School of Medicine, Washington, DC.
Advances in skin & wound care
|February 10, 2026
概括
患者发起的沟通 (PIC) 在糖尿病并发症下膝下截肢 (BKA) 后很常见. 了解PIC原因和患者特征可以改善BKA患者的护理和治疗结果.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 患者沟通 患者沟通
背景情况:
- 糖尿病并发症的膝下截肢 (BKA) 与患者的严重焦虑和心理社会挑战有关.
- 患者发起的沟通 (PIC) 可以减轻不确定性,但可能会增加医疗保健提供者的负担.
- 了解PIC的模式和原因对于优化患者护理至关重要.
研究的目的:
- 确定膝下截肢 (BKA) 术后期患者发起沟通 (PIC) 相关的发生率,理由和患者特征.
- 为了比较参与PIC的患者与不参与PIC的患者的特征和结果.
- 分析术前和术后PIC之间的差异.
主要方法:
- 在2021年12月至2023年8月期间,对151名因糖尿病并发症接受BKA的患者进行了回顾性审查.
- 对手术后90天内患者发起的沟通 (电话,门户消息) 的分析.
- 将PIC患者与非PIC患者进行比较,包括分组分析手术前 (PIC) 和手术后 (PIC) 沟通.
主要成果:
- 超过72%的BKA患者开始沟通 (368次接触),主要涉及行政问题,伤口护理和药物.
- PIC患者的住院时间较短,并且更有可能出院回家或接受康复治疗.
- 释放到家中并返回手术室 (ROR) 独立预测PIC.
- 术前PIC与结婚和出院有关,而术后PIC与较长的LOS和较少的ROR相关.
结论:
- 识别PIC的高风险患者群体对于主动护理至关重要.
- 了解患者发起沟通的具体原因可以帮助医疗机构更好地解决患者的担忧,并优化BKA护理途径.
- 术前和术后阶段的PIC模式不同,这表明定制的沟通策略可能是有益的.
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