Background: As the population ageing, more patients suffer from joint disease. Joint replacement surgery performed in Taiwan is about 10,000 to 20,000 cases yearly. Aims: The purpose of this study is to realize Total ...Background: As the population ageing, more patients suffer from joint disease. Joint replacement surgery performed in Taiwan is about 10,000 to 20,000 cases yearly. Aims: The purpose of this study is to realize Total Knee Arthroplasty (TKA) patients’ views about life experiences and difficulty in daily life before and after the surgery. Methods: In this study, in-depth interview with interview guideline was used to analyze patients’ experience by using a qualitative research method, and questionnaires were used to collect quantity data. Results: 1) A total of 20 participants were recruited. Average age was 75.15 (SD = 6.468). Eighteen of the participants were female and the other two were male. The majority of participants indicated that their home facilities were convenient or very convenient. 2) Motivations of the participants to undergo TKA were joint pain, limited joint range of motion, and weakness in legs. Participants’ expectations after surgery were no more pain and ease in walking, and able to manage daily life. 3) Depending on the time after surgery, joint pain and walking ability had improved to some extent. The joint range of motion increased, but kneeling remained difficult, and the participants’ mood and exercise capacity were improved. Conclusions: The finding can be as a reference for clinical practitioner to provide preoperative education for total knee arthroplasty patients.展开更多
BACKGROUND Neoadjuvant therapy(NT)has increasingly been utilized for patients with localized pancreatic ductal adenocarcinoma(PDAC).It is the recommended approach for borderline resectable(BR)and locally advanced(LA)c...BACKGROUND Neoadjuvant therapy(NT)has increasingly been utilized for patients with localized pancreatic ductal adenocarcinoma(PDAC).It is the recommended approach for borderline resectable(BR)and locally advanced(LA)cancers and an increasingly utilized option for potentially resectable(PR)disease.Despite its increased use,little research has focused on patient-centered metrics among patients undergoing NT,including patient experiences,preferences,and recommendations.A better understanding of all aspects of the patient experience during NT may identify opportunities to design interventions aimed at improving quality of life;it may also facilitate the completion of NT and receipt of surgery,ultimately optimizing long-term outcomes.AIM To understand the experience of patients initiating and receiving NT to identify opportunities to improve neoadjuvant cancer care delivery.METHODS Semi-structured interviews of patients with localized PDAC during NT were conducted to explore their experience initiating and receiving NT.Interviews took place between August 2020 and October 2021.Due to the descriptive nature of the research,questions were open ended.Interviews were conducted over the phone,audio recorded and then transcribed.All interviews were coded by two independent researchers using NVivo 12,iteratively identifying themes until thematic saturation was achieved.An integrative approach to qualitative analysis was used,utilizing both inductive and deductive methods.RESULTS A total of 12 patients with localized PDAC were interviewed.Patients with BR(n=7),PR(n=2),and LA(n=3)cancers participated in the study.All patients indicated that choosing NT was the doctor’s recommendation,while most reported not being familiar with the concept of NT(n=11)and that NT was presented as the only option(n=8).Five themes describing the patient experience emerged:physical symptoms,emotional symptoms,coping mechanisms,access to care,and life factors.The most commonly cited recommendation for improving the experience of NT was improved education before and during NT(n=7).Patients highlighted the need for more information on the rationale behind choosing NT prior to surgery,the anticipated surgery and its likelihood of surgery occurring after NT,as well as general information prior to starting NT treatment.The need for seeing different members of the healthcare team,including ancillary services was also frequently cited as a recommendation for improving the experience of NT(n=5).CONCLUSION This study provides a framework to allow for a better understanding of the PDAC patient experience during NT and highlights opportunities to improve quality and quantity of life outcomes.展开更多
目的系统整合全喉切除术患者生活体验的质性研究。方法计算机检索PsyclNFO、Scopus、Web of Science、PubMed、CINAHL、Cochrane library、Embase、知网、万方、维普数据库,搜索从建库至2022年9月13日有关全喉切除术后患者内心感受及生...目的系统整合全喉切除术患者生活体验的质性研究。方法计算机检索PsyclNFO、Scopus、Web of Science、PubMed、CINAHL、Cochrane library、Embase、知网、万方、维普数据库,搜索从建库至2022年9月13日有关全喉切除术后患者内心感受及生活体验的质性研究文献。对提取结果使用汇集性整合方法进行归纳整合。结果共纳入13篇论文,提取45个研究结果,将相似结果归纳总结成7个新的类别,并综合成3个整合结果。整合结果1:全喉切除术患者面临多重转变的身心感受,包括3个类别:躯体功能障碍、负性情绪体验突出、打破家庭社会生活常态。整合结果2:全喉切除术患者的需求,包括2个类别:疾病相关知识的需求、社会支持的需求。整合结果3:全喉切除术患者的调适,包括2个类别:不同策略应对多重转变、适应新常态,重建有意义的生活。结论全喉切除术患者面临生理心理社会等多维度的困难与挑战,需要家庭和医务人员充分了解患者的内心感受、生活体验、需求与调适,帮助其实现生活重建,提高患者生活质量。展开更多
目的系统评价与整合成年心脏移植受者术后生活体验的质性研究,为制定临床干预方案提供循证依据。方法检索Embase、PubMed、Web of Science、ProQuest、Cochrane Library、CINAHL、EBSCO、中国知网、中国生物医学文献数据库、万方数据库...目的系统评价与整合成年心脏移植受者术后生活体验的质性研究,为制定临床干预方案提供循证依据。方法检索Embase、PubMed、Web of Science、ProQuest、Cochrane Library、CINAHL、EBSCO、中国知网、中国生物医学文献数据库、万方数据库中有关成年心脏移植受者术后生活体验相关的质性研究文献,检索时限为建库至2023年1月。根据澳大利亚JBI循证卫生保健中心质性研究的评价工具(2016版)进行文献质量评价,最后通过汇集性整合方法对文献结果进行整合。结果本研究共纳入18篇文献,最终提炼出30个结果,归纳形成12个类别,总结出日常生活的挑战、负性体验、正性体验、患者康复需求4个整合结果。结论家庭、医务人员和社会应充分关注成年心脏移植受者术后真实生活,给予支持和关爱,满足患者康复需求,提高心脏移植受者术后的生活质量。展开更多
文摘Background: As the population ageing, more patients suffer from joint disease. Joint replacement surgery performed in Taiwan is about 10,000 to 20,000 cases yearly. Aims: The purpose of this study is to realize Total Knee Arthroplasty (TKA) patients’ views about life experiences and difficulty in daily life before and after the surgery. Methods: In this study, in-depth interview with interview guideline was used to analyze patients’ experience by using a qualitative research method, and questionnaires were used to collect quantity data. Results: 1) A total of 20 participants were recruited. Average age was 75.15 (SD = 6.468). Eighteen of the participants were female and the other two were male. The majority of participants indicated that their home facilities were convenient or very convenient. 2) Motivations of the participants to undergo TKA were joint pain, limited joint range of motion, and weakness in legs. Participants’ expectations after surgery were no more pain and ease in walking, and able to manage daily life. 3) Depending on the time after surgery, joint pain and walking ability had improved to some extent. The joint range of motion increased, but kneeling remained difficult, and the participants’ mood and exercise capacity were improved. Conclusions: The finding can be as a reference for clinical practitioner to provide preoperative education for total knee arthroplasty patients.
文摘BACKGROUND Neoadjuvant therapy(NT)has increasingly been utilized for patients with localized pancreatic ductal adenocarcinoma(PDAC).It is the recommended approach for borderline resectable(BR)and locally advanced(LA)cancers and an increasingly utilized option for potentially resectable(PR)disease.Despite its increased use,little research has focused on patient-centered metrics among patients undergoing NT,including patient experiences,preferences,and recommendations.A better understanding of all aspects of the patient experience during NT may identify opportunities to design interventions aimed at improving quality of life;it may also facilitate the completion of NT and receipt of surgery,ultimately optimizing long-term outcomes.AIM To understand the experience of patients initiating and receiving NT to identify opportunities to improve neoadjuvant cancer care delivery.METHODS Semi-structured interviews of patients with localized PDAC during NT were conducted to explore their experience initiating and receiving NT.Interviews took place between August 2020 and October 2021.Due to the descriptive nature of the research,questions were open ended.Interviews were conducted over the phone,audio recorded and then transcribed.All interviews were coded by two independent researchers using NVivo 12,iteratively identifying themes until thematic saturation was achieved.An integrative approach to qualitative analysis was used,utilizing both inductive and deductive methods.RESULTS A total of 12 patients with localized PDAC were interviewed.Patients with BR(n=7),PR(n=2),and LA(n=3)cancers participated in the study.All patients indicated that choosing NT was the doctor’s recommendation,while most reported not being familiar with the concept of NT(n=11)and that NT was presented as the only option(n=8).Five themes describing the patient experience emerged:physical symptoms,emotional symptoms,coping mechanisms,access to care,and life factors.The most commonly cited recommendation for improving the experience of NT was improved education before and during NT(n=7).Patients highlighted the need for more information on the rationale behind choosing NT prior to surgery,the anticipated surgery and its likelihood of surgery occurring after NT,as well as general information prior to starting NT treatment.The need for seeing different members of the healthcare team,including ancillary services was also frequently cited as a recommendation for improving the experience of NT(n=5).CONCLUSION This study provides a framework to allow for a better understanding of the PDAC patient experience during NT and highlights opportunities to improve quality and quantity of life outcomes.
文摘目的系统整合全喉切除术患者生活体验的质性研究。方法计算机检索PsyclNFO、Scopus、Web of Science、PubMed、CINAHL、Cochrane library、Embase、知网、万方、维普数据库,搜索从建库至2022年9月13日有关全喉切除术后患者内心感受及生活体验的质性研究文献。对提取结果使用汇集性整合方法进行归纳整合。结果共纳入13篇论文,提取45个研究结果,将相似结果归纳总结成7个新的类别,并综合成3个整合结果。整合结果1:全喉切除术患者面临多重转变的身心感受,包括3个类别:躯体功能障碍、负性情绪体验突出、打破家庭社会生活常态。整合结果2:全喉切除术患者的需求,包括2个类别:疾病相关知识的需求、社会支持的需求。整合结果3:全喉切除术患者的调适,包括2个类别:不同策略应对多重转变、适应新常态,重建有意义的生活。结论全喉切除术患者面临生理心理社会等多维度的困难与挑战,需要家庭和医务人员充分了解患者的内心感受、生活体验、需求与调适,帮助其实现生活重建,提高患者生活质量。
文摘目的系统评价与整合成年心脏移植受者术后生活体验的质性研究,为制定临床干预方案提供循证依据。方法检索Embase、PubMed、Web of Science、ProQuest、Cochrane Library、CINAHL、EBSCO、中国知网、中国生物医学文献数据库、万方数据库中有关成年心脏移植受者术后生活体验相关的质性研究文献,检索时限为建库至2023年1月。根据澳大利亚JBI循证卫生保健中心质性研究的评价工具(2016版)进行文献质量评价,最后通过汇集性整合方法对文献结果进行整合。结果本研究共纳入18篇文献,最终提炼出30个结果,归纳形成12个类别,总结出日常生活的挑战、负性体验、正性体验、患者康复需求4个整合结果。结论家庭、医务人员和社会应充分关注成年心脏移植受者术后真实生活,给予支持和关爱,满足患者康复需求,提高心脏移植受者术后的生活质量。
