患者对脚后跟外翻手术的期望:定性分析

IF 1.3 4区 医学 Q2 Medicine
Rachel H Albright, Jack Arp, Zalak Bhatt, Lowell Weil, Meghan Longacre, Adam E Fleischer
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引用次数: 0

摘要

本研究采用定性方法深入探讨了患者对拇外翻手术的期望。本诊所有20名等待进行症状性拇外翻手术的患者完成了20分钟的半结构化访谈,以获得有关他们对拇外翻手术期望的丰富而细致的信息。访谈内容由三位审稿人转录并独立编码。三位审稿人对编码进行合并和分析,得出代表患者拇外翻手术动机和目标的总体主题。疼痛和活动是影响手术决定和手术成功定义的关键决策因素。许多参与者担心如果不及时治疗,疼痛会加重,畸形会恶化。外观美观也是一个重要的考虑因素,但在疼痛、活动能力和功能能力面前,外观美观是次要的。参与者非常重视护理团队对他们术后即时护理的清晰、全面的指导。最后,我们观察到对术后恢复时间表的期望值差异很大,这表明也许更有必要提供更符合临床实际情况的康复时间表。这些研究结果证明,在我们的患者眼中,外翻畸形是一种致残性肌肉骨骼疾病,会严重限制患者的日常活动。此外,这些研究还有助于我们深入了解患者进行足外翻手术的目标和动机,并突出了在术前咨询中改善对话的潜在领域。临床证据级别:不适用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Expectations in Hallux Valgus Surgery: A Qualitative Analysis.

This study provides an in-depth exploration of patient expectations with hallux valgus surgery using a qualitative approach. Twenty patients awaiting surgery for symptomatic hallux valgus in our practice completed a 20-minute semi-structured interview to elicit rich, nuanced information regarding their expectations in bunion surgery. Interviews were transcribed and independently coded by three reviewers. Codes were combined and analyzed by three reviewers to produce over-arching themes that represented patient motivations and goals with hallux valgus surgery. Pain and activity were key decision-making factors influencing both the decision to pursue surgery and in defining surgical success. Many participants feared worsening pain and progression of deformity if left untreated. Cosmetic appearance was an important concern, as well, but secondary to pain, activity and functional ability. Participants valued clear, comprehensive instructions from their care team regarding their immediate postoperative care. Lastly, we observed wide variability in expectations regarding the postoperative recovery timeline, suggesting, perhaps, a greater need for providing rehabilitation timelines that better align expectations with clinical reality. These findings provide evidence that hallux valgus deformity, in the eyes of our patients, is a disabling musculoskeletal condition which can substantially restrict daily activities. Additionally, the work offers insight into patient goals and motivations for pursuing hallux valgus surgery and highlights potential areas for improved dialog during preoperative consultations. LEVEL OF CLINICAL EVIDENCE: N/A.

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来源期刊
Journal of Foot & Ankle Surgery
Journal of Foot & Ankle Surgery ORTHOPEDICS-SURGERY
CiteScore
2.30
自引率
7.70%
发文量
234
审稿时长
29.8 weeks
期刊介绍: The Journal of Foot & Ankle Surgery is the leading source for original, clinically-focused articles on the surgical and medical management of the foot and ankle. Each bi-monthly, peer-reviewed issue addresses relevant topics to the profession, such as: adult reconstruction of the forefoot; adult reconstruction of the hindfoot and ankle; diabetes; medicine/rheumatology; pediatrics; research; sports medicine; trauma; and tumors.
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