下肢深静脉血栓患者对患者报告结局认知和参与意愿的质性研究

Cognition and participation intention of patient-reported outcomes in patients with lower limb deep vein thrombosis:a qualitative study

目的了解国内下肢深静脉血栓(DVT)患者参与患者报告结局(PROs)的认知和参与意愿,以期为PROs在我国下肢DVT患者中的推广应用与实践提供参考。方法采用现象学质性研究方法,选取2023年2—6月北京协和医院收治的13例下肢DVT患者进行半结构式深入访谈,运用Colaizzi 7步分析法进行资料分析与归纳。结果13例下肢DVT患者非常认可在参与PROs中的自身价值,即有益健康、预防DVT并发症和减少疾病不确定性;下肢DVT患者期望获得医护人员、家庭和便携与简易化的报告形式等多方支持促进其参与PROs;从自身角度感知到由于未意识到DVT危害导致DVT重视程度不足、对PROs了解甚少导致其参与PROs困难重重。结论下肢DVT患者参与PROs意愿较高。PROs在我国下肢DVT患者中应用推广需要社会多方的共同支持,其中加强患者及家属有效的健康教育、提供多途径的报告形式是PROs推广应用的关键。

Objective To explore the cognition and intention of patients with lower limb deep vein thrombosis(DVT)to participate in patient-reported outcomes(PROs),so as to provide references for the promotion,application,and practice of PROs in lower limb DVT patients in China.Methods This study adopted the phenomenological qualitative research method.From February to June 2023,13 lower limb DVT patients admitted to Peking Union Medical College Hospital were selected for semi-structured in-depth interviews.Colaizzi 7-step analysis method was used for analyzing and summarizing data.Results Thirteen patients with lower limb DVT highly recognized their own value in participating in PROs,namely health benefits,prevention of DVT complications,and reduction of disease uncertainty.Lower limb DVT patients expected to receive support from healthcare professionals,families,and portable and simplified reporting formats to promote their participation in PROs.From the patient's own perspective,they perceived that insufficient attention to DVT caused by lack of awareness of the hazards of DVT and limited understanding of PROs made it difficult for them to participate in PROs.Conclusions Lower limb DVT patients have a high intention to participate in PROs.The application and promotion of PROs in lower limb DVT patients in China require joint support from various sectors of society,among which strengthening effective health education for patients and their families and providing multi-channel reporting forms are the key to promoting of PROs.