Rich John A, Grey Courtney M
Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston Public Health Commission, 1010 Massachusetts Avenue, 6th Floor, Boston, Massachusetts 02118, USA.
World J Surg. 2003 Aug;27(8):957-61; discussion 961-2. doi: 10.1007/s00268-003-7099-0. Epub 2003 Jun 18.
Qualitative research methods have a unique role to play in surgical research, revealing important contextual details about the causes and impact of surgical illnesses and treatment. The utility of qualitative methods is illustrated through results of a research study of young, black male victims of interpersonal violence. Narrative analysis of in-depth interviews with 48 survivors of penetrating violence revealed the impact of these patients' perceptions of post-injury care on their pain, the central role of fear of death in their injury experience, and the transforming role providers can play in addressing patient fears of death. The study provides support for the notion that qualitative methods can be a useful approach to understanding marginalized individuals who become our patients after injury. Furthermore, potential applications of multimethod approaches to surgical research (qualitative research methods in combination with quantitative methods) for the study of trainee experiences, patient satisfaction, and racial disparities are recommended.
定性研究方法在外科研究中具有独特作用，能揭示有关外科疾病病因及治疗影响的重要背景细节。通过一项针对人际暴力年轻黑人男性受害者的研究结果，展现了定性方法的实用性。对48名穿透性暴力幸存者进行深入访谈的叙事分析表明，这些患者对伤后护理的认知对其疼痛的影响、对死亡的恐惧在其受伤经历中的核心作用，以及医护人员在消除患者对死亡恐惧方面可发挥的转变作用。该研究支持了这样一种观点，即定性方法是理解受伤后成为我们患者的边缘化个体的有用途径。此外，还建议采用多方法研究途径（定性研究方法与定量方法相结合）对外科研究中的实习生经历、患者满意度和种族差异进行研究。
