胫骨截肢患者信息交流和共同决策的观点。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES
Journal of Patient-Centered Research and Reviews Pub Date : 2025-09-30 eCollection Date: 2025-01-01 DOI:10.17294/2330-0698.2147
Lina Walther Sjödin, Lasse J Lapidus, Eva Torbjörnsson
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引用次数: 0

摘要

目的:下肢截肢患者往往希望积极参与决策。本研究的主要目的是探讨病人的经验,护理轨迹和信息提供后,一个新的护理方案引入。次要目的是探索患者在整个护理过程中参与共同决策的观点。护理方案的特点是新的教育材料,矢状面手术技术的建议,关于刚性可拆卸敷料的信息,早期内衬治疗,以及截肢后三周多学科团队的随访。方法:15名接受胫骨截肢手术的参与者被纳入研究,并在手术后2至3个月接受采访。采用有目的的抽样方法,采用内容分析法对数据进行分析。结果:确定了三个主题:(1)成为截肢者的情感混合体验,(2)在截肢过程中需要被看到,(3)参与护理的重要性。参与者希望在决策过程中发挥更积极的作用,我们的多学科团队跟进是共同决策的一个很好的例子。印刷资料受到赞赏,但考虑到问题的严重性,最重要的方面是口头交流。参与者在整个护理过程中缺乏连续性。结论:个性化的口腔信息和与专业医护人员的互动对于接受胫骨截肢的参与者是必不可少的。实施截肢前多学科团队会诊可以提高患者参与和促进共同决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perspectives on Communicating Information and Shared Decision-Making in Patients Undergoing Transtibial Amputation.

Purpose: Patients undergoing lower extremity amputation often desire to take an active part in decision-making. The primary aim of this study was to explore patients' experiences of the care trajectory and information provided after a new care program was introduced. The secondary aim was to explore patients' perspectives of their involvement and participation in shared decision-making throughout the care process. The care program features new educational material, recommendations for the sagittal surgical technique, and information about a rigid removable dressing, early liner treatment, and a multidisciplinary team follow up three weeks after amputation.

Methods: Fifteen participants who underwent transtibial amputation were included in the study and were interviewed two to three months post-surgery. Purposeful sampling was used, and data were analyzed with content analysis.

Results: Three themes were identified: (1) the emotionally mixed experience of becoming a person with an amputation, (2) the need to be seen during the amputation process, and (3) the importance of being involved in care. Participants wanted to take a more active role in the decision-making process, and our multidisciplinary team follow up was an excellent example of shared decision-making. Printed information was appreciated, but the most crucial aspect was oral communication, given the gravity of the subject. Participants experienced a lack of continuity throughout the care trajectory.

Conclusions: Individualized oral information and interaction with dedicated healthcare professionals are essential for participants undergoing transtibial amputation. Implementing a multidisciplinary team consultation pre-amputation may enhance patient involvement and promote shared decision-making.

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来源期刊
Journal of Patient-Centered Research and Reviews
Journal of Patient-Centered Research and Reviews HEALTH CARE SCIENCES & SERVICES-
自引率
5.90%
发文量
35
审稿时长
20 weeks
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