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面对面交流:对接受面部移植手术的候选人进行教育

Face time: educating face transplant candidates.

作者信息

Lamparello Brooke M, Bueno Ericka M, Diaz-Siso Jesus Rodrigo, Sisk Geoffroy C, Pomahac Bohdan

机构信息

Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.

出版信息

Eplasty. 2013 Jul 4;13:e36. Print 2013.

PMID:23861990
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3704081/
Abstract

OBJECTIVE

Face transplantation is the innovative application of microsurgery and immunology to restore appearance and function to those with severe facial disfigurements. Our group aims to establish a multidisciplinary education program that can facilitate informed consent and build a strong knowledge base in patients to enhance adherence to medication regimes, recovery, and quality of life.

METHODS

We analyzed handbooks from our institution's solid organ transplant programs to identify topics applicable to face transplant patients. The team identified unique features of face transplantation that warrant comprehensive patient education.

RESULTS

We created a 181-page handbook to provide subjects interested in pursuing transplantation with a written source of information on the process and team members and to address concerns they may have. While the handbook covers a wide range of topics, it is easy to understand and visually appealing.

CONCLUSIONS

Face transplantation has many unique aspects that must be relayed to the patients pursuing this novel therapy. Since candidates lack third-party support groups and programs, the transplant team must provide an extensive educational component to enhance this complex process.

PRACTICE IMPLICATIONS

As face transplantation continues to develop, programs must create sound education programs that address patients' needs and concerns to facilitate optimal care.

摘要

目的

面部移植是显微外科和免疫学的创新性应用,旨在为严重面部毁容者恢复容貌和功能。我们团队的目标是建立一个多学科教育项目,以促进知情同意,并在患者中建立坚实的知识基础,从而提高其对药物治疗方案的依从性、促进康复并提高生活质量。

方法

我们分析了本机构实体器官移植项目的手册,以确定适用于面部移植患者的主题。该团队确定了面部移植的独特特征,这些特征需要对患者进行全面教育。

结果

我们编写了一本181页的手册,为有兴趣接受移植的受试者提供关于手术过程和团队成员的书面信息来源,并解决他们可能存在的担忧。虽然手册涵盖了广泛的主题,但易于理解且具有视觉吸引力。

结论

面部移植有许多独特之处,必须向寻求这种新型治疗方法的患者传达。由于候选者缺乏第三方支持团体和项目,移植团队必须提供广泛的教育内容,以优化这一复杂过程。

实践意义

随着面部移植的不断发展,各项目必须制定完善的教育项目,以满足患者的需求和担忧,从而促进最佳治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b2e/3704081/f254192dbc9c/eplasty13e36_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b2e/3704081/f254192dbc9c/eplasty13e36_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b2e/3704081/f254192dbc9c/eplasty13e36_fig1.jpg

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本文引用的文献

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Improving the delivery of patient education about kidney transplant in a transplant center.提高移植中心关于肾移植患者教育的提供水平。
Prog Transplant. 2012 Dec;22(4):403-12. doi: 10.7182/pit2012716.
2
A report of 15 hand allotransplantations in 12 patients and their outcomes in China.中国报道的 12 例 15 例手同种异体移植及其结果。
Transplantation. 2012 Nov 27;94(10):1052-9. doi: 10.1097/TP.0b013e31826c3915.
3
Education and counseling of renal transplant recipients.肾移植受者的教育和咨询。
J Nephrol. 2012 Nov-Dec;25(6):879-89. doi: 10.5301/jn.5000227.
4
The importance of obtaining truly consensual informed consent.
BJU Int. 2012 Jun;109(12):1743-4. doi: 10.1111/j.1464-410X.2012.11092.x. Epub 2012 Apr 23.
5
Renal recipients' educational experiences in the early post-operative phase--a qualitative study.肾移植受者术后早期的教育经历——一项定性研究。
Scand J Caring Sci. 2012 Dec;26(4):635-42. doi: 10.1111/j.1471-6712.2012.00972.x. Epub 2012 Mar 14.
6
Immunosuppressant nonadherence in heart, liver, and lung transplant patients: associations with medication beliefs and illness perceptions.心脏、肝脏和肺移植患者的免疫抑制剂不依从:与药物信念和疾病认知的关系。
Transplantation. 2012 May 15;93(9):958-63. doi: 10.1097/TP.0b013e31824b822d.
7
Three patients with full facial transplantation.三例全颜面移植患者。
N Engl J Med. 2012 Feb 23;366(8):715-22. doi: 10.1056/NEJMoa1111432. Epub 2011 Dec 28.
8
The Brigham and Women's Hospital face transplant program: a look back.布里格姆妇女医院面部移植项目:回顾。
Plast Reconstr Surg. 2012 Jan;129(1):81e-88e. doi: 10.1097/PRS.0b013e31823621db.
9
Recently accepted for the waiting list for heart or lung transplantation - patients' experiences of information and support.最近被列入心脏或肺移植等候名单的患者——他们的信息和支持体验。
Clin Transplant. 2011 Nov-Dec;25(6):E664-71. doi: 10.1111/j.1399-0012.2011.01511.x. Epub 2011 Oct 27.
10
A multidisciplinary protocol for face transplantation at Brigham and Women's Hospital.美国布莱根妇女医院的面部移植多学科方案。
J Plast Reconstr Aesthet Surg. 2011 Dec;64(12):1572-9. doi: 10.1016/j.bjps.2011.07.008. Epub 2011 Aug 26.