Qian Mingyang, Jiang Wei, Zou Qingsong, Cheng Wenlin, Xu Mengyi, Hua Li, Yu Jiangming
Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, 214122, People's Republic of China.
Department of Nursing, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200336, People's Republic of China.
Patient Prefer Adherence. 2025 Aug 22;19:2609-2621. doi: 10.2147/PPA.S539717. eCollection 2025.
This study aimed to explore the experiences and pivotal influencing factors of patients with Lumbar disc herniation (LDH) during the surgical decision-making phase to provide a basis for optimizing the shared decision-making between medical professionals and patients and for the implementation of personalized nursing care.
This phenomenological study employed face-to-face semi-structured interviews, conducted between January and February 2025. Purposive sampling method was used to select 20 patients with lumbar disc herniation from the orthopedic ward of a tertiary hospital. The interview data were analyzed by Colaizzi's seven-step phenomenological analysis method.
The findings of this study revealed that the surgical decision-making experiences of patients with LDH can be delineated into four themes: (1) Motivations underlying the surgical Decision; (2) Decision-making dilemmas arising from insufficient patient information; (3) The multi-dimensional factors influencing decision-making, and (4) Patients express unmet peri-operative needs.
This study reveals that surgical decision-making in patients with lumbar disc herniation is a complex process involving the interaction of biological, psychological, and social factors. It is essential to establish a patient-centered decision-support system, integrating structured information tools, psychological interventions, and hierarchical educational strategies. Future research endeavors should concentrate on the potential value of digital health technologies in enhancing the decision-making experience and seek to augment the effectiveness of decision-making aids through cultural adaptation.
本研究旨在探讨腰椎间盘突出症（LDH）患者在手术决策阶段的经历及关键影响因素，为优化医护人员与患者之间的共同决策以及实施个性化护理提供依据。
本现象学研究于2025年1月至2月进行面对面半结构式访谈。采用目的抽样法从一家三级医院的骨科病房选取20例腰椎间盘突出症患者。访谈数据采用Colaizzi七步现象学分析法进行分析。
本研究结果显示，腰椎间盘突出症患者的手术决策经历可分为四个主题：（1）手术决策的动机；（2）患者信息不足导致的决策困境；（3）影响决策的多维度因素；（4）患者表达了未满足的围手术期需求。
本研究表明，腰椎间盘突出症患者的手术决策是一个涉及生物、心理和社会因素相互作用的复杂过程。建立以患者为中心的决策支持系统至关重要，该系统应整合结构化信息工具、心理干预措施和分层教育策略。未来的研究应专注于数字健康技术在提升决策体验方面的潜在价值，并通过文化适应来提高决策辅助工具的有效性。
