The Patient Voice: Stent Experiences After Ureteroscopy-Insights from In-Depth Interviews with Participants in the USDRN STENTS Nested Qualitative Cohort Study.
The Patient Voice: Stent Experiences After Ureteroscopy-Insights from In-Depth Interviews with Participants in the USDRN STENTS Nested Qualitative Cohort Study.
复制标题
患者的声音：输尿管镜检查后的支架体验 - 对 USDRN 支架巢式定性队列研究参与者的深入访谈的见解。
DOI：
10.1089/end.2022.0810
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发表时间：
2023
影响因子：
2.7
通讯作者：
Wessells,Hun
中科院分区：
文献类型：
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作者：
Corneli,Amy;Dombeck,Carrie;McKenna,Kevin;Harper,JonathanD;Antonelli,JodiA;Desai,AlanaC;Lai,HHenry;Tasian,GregoryE;Ziemba,Justin;McCune,Rebecca;Piskator,Brooke;Al-Khalidi,HusseinR;Maalouf,NaimM;Reese,PeterP;Wessells,Hun
目的：输尿管支架通常在输尿管镜检查后使用，引起明显的不适，但对患者支架经历的定性观点尚不清楚。我们描述了输尿管镜后支架的心理、功能和人际关系影响，以及是否需要额外的患者报告评估。材料和方法：采用定性描述性研究设计，我们对一组嵌套的研究参与者进行了深入访谈，以加强对支架相关症状（STENTS）的理解。参与者分享了输尿管镜后支架的症状，并描述了症状的困扰和对日常活动的影响。所有访谈都被录音、转录，并使用应用主题分析进行分析。在分析过程中，参与者在日常活动中受到干扰的经历根据其影响分为三组：轻微、中度和严重。结果：所有39名参与者都经历了疼痛，尽管描述有所不同，并区分了疼痛和不适的感觉。几乎所有人都出现了泌尿系统症状。只有少数人报告了其他身体症状，尽管确定了几个心理方面的症状。在睡眠、情绪、生活享受、工作、运动、日常生活活动、驾驶、托儿和休闲/社交活动等方面，支架对最小组（n= 12）参与者的日常生活影响很小，而对大组（n= 8）参与者的影响要大得多。对于中度组（n= 19）的患者，一些日常活动受到中度或严重影响，而其他活动受到最小影响。结论：通过咨询帮助患者更好地应对支架相关症状的影响，可能有助于减轻症状负担。虽然现有的手段足以涵盖大多数症状，但可能需要对其他领域，特别是心理因素进行额外的评估。
Purpose:Ureteral stents are commonly used after ureteroscopy and cause significant discomfort, yet qualitative perspectives on patients' stent experiences remain unknown. We describe psychological, functional, and interpersonal effects of post-ureteroscopy stents and whether additional patient-reported assessments may be needed.Materials and Methods:Using a qualitative descriptive study design, we conducted in-depth interviews with a nested cohort of participants in the STudy to Enhance uNderstanding of sTent-associated Symptoms (STENTS). Participants shared their symptoms with a post-ureteroscopy stent and described symptom bother and impact on daily activities. All interviews were audio-recorded, transcribed, and analyzed using applied thematic analysis. During analysis, participants' experiences with interference in daily activities were categorized into three groups based on their impact: minimal, moderate, and substantial.Results:All 39 participants experienced pain, although descriptions varied and differentiated between feelings of painvsdiscomfort. Almost all experienced urinary symptoms. Only a few reported other physical symptoms, although several psychological aspects were identified. In the areas of sleep, mood, life enjoyment, work, exercise, activities of daily living, driving, childcare, and leisure/social activities, the stent had little impact on daily living among participants placed in the minimal group (n= 12) and far greater impact for participants in the substantial group (n= 8). For patients in the moderate group (n= 19), some daily activities were moderately or substantially affected, whereas other activities were minimally affected.Conclusions:Counseling to better prepare patients for the impact of stent-associated symptoms may help mitigate symptom burden. While existing instruments adequately cover most symptoms, additional assessments for other domains, particularly psychological factors, may be needed.