Denver Seattle COIN. VA Eastern Colorado Healthcare System, Aurora, Colorado, United States of America.
VA Puget Sound Health Care System, Seattle, Washington, United States of America.
PLoS One. 2022 Mar 18;17(3):e0265620. doi: 10.1371/journal.pone.0265620. eCollection 2022.
There is limited qualitative research on the experience of patients undergoing lower limb amputation due to chronic limb threatening ischemia (CLTI) and their participation in amputation-level decisions. This study was performed to understand patient lived experiences related to amputation and patient involvement in shared decision making.
Phenomenological interviews were conducted with Veterans 6-12 months post transtibial or transmetatarsal amputation due to CLTI. Interviews were read and summarized by two analysts who discussed the contents of each interview and relationships between interviews to identify emergent, cross-cutting elements of patient experience.
Twelve patients were interviewed between March and August 2019. Three cross cutting elements of patient lived experience and participation in shared decision making were identified: 1) Lacking a sense of decision making; 2) Actively working towards recovery as response to a perceived loss of independence; and 3) Experiencing amputation as a Veteran.
Patients did not report a high level of involvement in shared decision making about their amputation or amputation level. Understanding patient experiences and priorities is crucial to supporting shared decision making for Veterans with amputation due to CLTI.
由于慢性肢体威胁性缺血（CLTI）而接受下肢截肢的患者的体验及其在截肢水平决策中的参与情况，相关的定性研究较少。本研究旨在了解与截肢相关的患者生活体验以及患者在共同决策中的参与情况。
对 6-12 个月前因 CLTI 而行胫骨或跖骨截肢的退伍军人进行了现象学访谈。两名分析人员阅读并总结了访谈内容，讨论了每个访谈的内容以及访谈之间的关系，以确定患者体验的新出现的、交叉的要素。
2019 年 3 月至 8 月期间对 12 名患者进行了访谈。确定了患者生活体验和参与共同决策的三个交叉要素：1）缺乏决策感；2）积极康复，以应对感知到的独立性丧失；3）作为退伍军人体验截肢。
患者并未报告在其截肢或截肢水平方面高度参与共同决策。了解患者的体验和优先事项对于支持因 CLTI 而截肢的退伍军人的共同决策至关重要。
