影响骨关节炎患者膝关节置换术决策的因素

IF 1.5 Q3 NURSING
Fatemeh Najafi , Hooman Shahsavari , Seyed Mohammad Javad Mortazavi , Sajjad Khodayari , Molouk Jaafarpour , Zahra Zare
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引用次数: 1

摘要

目的确定影响膝关节骨性关节炎患者膝关节置换术决策的因素对缓解疼痛、改善膝关节功能和达到最佳结果至关重要。当决策匆忙或延迟时,可能无法及时进行手术,使手术复杂化,并发症增加。本研究旨在探讨影响膝关节置换术决策的因素。方法采用定性研究和归纳内容分析法。本研究通过有目的的抽样选择22例接受膝关节置换术的患者。采用半结构化深度访谈法收集数据,采用归纳内容分析法进行分析。结果通过数据分析得出:希望恢复正常生活、鼓励和建议、信任和保证。结论为了根据患者的价值观和愿望做出更好的治疗决策,获得更好的治疗效果,治疗团队有必要增加与患者的互动,加强与患者的沟通,使患者的期望更加现实,并帮助他们了解风险。他们还应该努力增加患者对手术利弊的认识,并澄清在决策时对他们重要的是什么。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors affecting decision-making for knee arthroplasty in patients with osteoarthritis

Objective

Identifying factors affecting decision-making for knee arthroplasty in patients with knee osteoarthritis is critically important for pain relief, improving in knee function and reaching an optimal outcome. When decision-making is hurried or delayed, surgery may not occur in time, which complicates the surgery and increases its complications. This study was conducted to investigate the factors influencing decision-making for knee arthroplasty.

Methods

This study is a qualitative study and inductive content analysis method. This study enrolled 22 patients undergoing knee arthroplasty selected through purposive sampling. Data were collected through semi-structured in-depth interviews and analyzed using inductive content analysis.

Results

Data analysis yielded three categories: hope to return to normal life, encouragement and recommendations, and trust and assurance.

Conclusion

To make better treatment-related decisions and achieve better outcomes based on the patient's values and wishes, it is necessary for the treatment team to increase its interactions and establish stronger communication with patients to make their expectations more realistic and help them understand the risks. They should also make efforts to increase patients' knowledge about the advantages and disadvantages of surgery and clarify what is important to them in decision-making.

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来源期刊
CiteScore
2.60
自引率
14.30%
发文量
34
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