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心脏外科的定性研究:重要性、挑战与机遇。

Qualitative research in cardiac surgery: importance, challenges, and opportunities.

作者信息

Narayan Eka, Cheah Ramsah

机构信息

Hull York Medical School, Allam Medical Building, University of Hull, Hull, HU6 7RX UK.

出版信息

Indian J Thorac Cardiovasc Surg. 2025 Apr;41(4):498-502. doi: 10.1007/s12055-025-01923-w. Epub 2025 Feb 25.

DOI:10.1007/s12055-025-01923-w
PMID:40144599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11933489/
Abstract

Qualitative research in cardiac surgery remains underutilised despite its crucial role in understanding patient experiences and improving care delivery. Cardiac surgery has traditionally been dominated by quantitative research and despite its clear value, qualitative research remains underutilised in cardiac surgery. This narrative review highlights key qualitative findings in valve replacement procedures, including patient autonomy in decision-making, post-operative challenges, and financial burdens. Mixed-methods research combining quantitative and qualitative approaches offers a comprehensive framework for addressing complex healthcare challenges. We propose strategic areas for future qualitative research and recommend increased integration of qualitative methodologies in cardiac surgical practice.

摘要

尽管定性研究在理解患者体验和改善护理服务方面发挥着关键作用,但在心脏外科领域仍未得到充分利用。传统上,心脏外科一直以定量研究为主导,尽管定量研究有其明确价值,但定性研究在心脏外科中仍未得到充分利用。这篇叙述性综述强调了瓣膜置换手术中的关键定性研究结果,包括决策中的患者自主权、术后挑战和经济负担。将定量和定性方法相结合的混合方法研究为应对复杂的医疗保健挑战提供了一个全面的框架。我们提出了未来定性研究的战略领域,并建议在心脏外科实践中更多地整合定性方法。

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本文引用的文献

1
Out-of-Pocket Expenditure and Challenges Faced by Patients Undergoing Heart Valve Replacement in Follow-Up Care at a Tertiary Care Center in South India: A Mixed Methods Study.印度南部一家三级护理中心心脏瓣膜置换术后患者随访中的自付费用及面临的挑战:一项混合方法研究
Cureus. 2024 Aug 4;16(8):e66127. doi: 10.7759/cureus.66127. eCollection 2024 Aug.
2
Qualitative study of willingness and demand for participation in decision-making regarding anticoagulation therapy in patient undergoing heart valve replacement.心脏瓣膜置换术后抗凝治疗决策参与意愿和需求的定性研究。
BMC Med Inform Decis Mak. 2022 Feb 18;22(1):45. doi: 10.1186/s12911-022-01780-2.
3
Comparison of Quantitative Versus Qualitative Assessment of Single Right Ventricular Function for the Prediction of Midterm Outcomes.定量评估与定性评估右心室功能对预测中期结局的比较。
Pediatr Cardiol. 2021 Apr;42(4):768-773. doi: 10.1007/s00246-021-02539-8. Epub 2021 Jan 31.
4
Octogenarian patients' sleep and delirium experiences in hospital and four years after aortic valve replacement: a qualitative interview study.八旬患者在医院及主动脉瓣置换术后四年的睡眠和谵妄体验:一项定性访谈研究。
BMJ Open. 2021 Jan 7;11(1):e039959. doi: 10.1136/bmjopen-2020-039959.
5
Assessing the safety and efficacy of TAVR compared to SAVR in low-to-intermediate surgical risk patients with aortic valve stenosis: An overview of reviews.评估 TAVR 与 SAVR 在低至中度手术风险的主动脉瓣狭窄患者中的安全性和疗效:系统评价概述。
Int J Cardiol. 2020 Sep 1;314:43-53. doi: 10.1016/j.ijcard.2020.04.022. Epub 2020 Apr 11.
6
Facilitators of and barriers to reducing thirty-day readmissions and improving patient-reported outcomes after surgical aortic valve replacement: a process evaluation of the AVRre trial.促进和阻碍主动脉瓣置换术后 30 天再入院率和改善患者报告结局的因素:AVRre 试验的过程评估。
BMC Health Serv Res. 2020 Mar 27;20(1):256. doi: 10.1186/s12913-020-05125-5.
7
Qualitative Methodology in Cardiovascular Outcomes Research: A Contemporary Look.心血管结局研究中的定性方法:当代视角
Circ Cardiovasc Qual Outcomes. 2019 Sep;12(9):e005828. doi: 10.1161/CIRCOUTCOMES.119.005828. Epub 2019 Sep 12.
8
Conditions for autonomous choice: a qualitative study of older adults' experience of decision-making in TAVR.自主选择的条件:一项关于老年人经导管主动脉瓣置换术决策体验的定性研究
J Geriatr Cardiol. 2017 Jan;14(1):42-48. doi: 10.11909/j.issn.1671-5411.2017.01.007.
9
The experiences of "difficult life" in heart valve replaced patients.心脏瓣膜置换患者的“艰难生活”经历。
Iran Red Crescent Med J. 2014 Aug;16(8):e19147. doi: 10.5812/ircmj.19147. Epub 2014 Aug 5.
10
Qualitative and mixed methods provide unique contributions to outcomes research.定性研究方法和混合研究方法为结果研究做出了独特贡献。
Circulation. 2009 Mar 17;119(10):1442-52. doi: 10.1161/CIRCULATIONAHA.107.742775.