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外科医生关于在手术前决策过程中决定性先例的观点
Elizabeth Palmer Kelly1, Julia McGee2, Celia E Wills3
1Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.
The Journal of surgical research
|February 11, 2026
概括
外科医生需要更好的方法来了解患者在手术前的价值观. 在繁忙的外科手术工作流程中,预访策略可以帮助将患者的背景纳入共享决策 (SDM).
科学领域:
- 手术护理 手术护理
- 患者为中心的医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 在外科手术中至关重要,但经常不一致地应用.
- 时间限制和缺乏患者背景阻碍了手术前环境中的SDM.
- 了解患者的信念,目标和社会背景是有效SDM的关键.
研究的目的:
- 探索外科医生对手术护理决策先例的观点.
- 在例行外科工作流程中确定增强SDM的策略.
- 解决将患者背景纳入术前咨询中的障碍.
主要方法:
- 进行了深入的半结构面试,与六个子专业的18名外科医生进行了深入的半结构面试.
- 利用面试成绩单的专题分析来诱导主题开发.
- 采用严格的编码过程,由两名团队成员进行独立审查.
主要成果:
- 外科医生在患者的参与度和决策准备度上发现了显著的变化.
- 决策先例和第三方输入有价值,但由于时间限制,很难纳入.
- 现有的工作流提供了有限的机会来揭示基本的患者背景和价值观.
结论:
- 访问前的策略对于收集患者的上下文因素至关重要.
- 整合患者背景信息可以在外科环境中加强SDM.
- 解决结构性障碍是必要的,以支持SDM在当前的外科手术工作流程.
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