Retrospective study of emerging themes in the decision-making process of patients considering amputation

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• 作者：Michal Rassin ; RN ; PhD^a ; ^{rasinm@asaf.health.gov.il} ; Valeria Tzevlin ; RN ; BA^b ; Einat Malul ; RN ; MA^b ; Shimrit Harel ; RN ; BA^b ; Hadar Shakhar ; RN ; BA^b
• 刊名：Journal of Vascular Nursing
• 出版年：2012
• 期刊代码：213_10620303
• 类别：med
• 出版时间：June, 2012
• 卷：30
• 期：2
• 页码：54-60
• 文件大小：100 K

摘要

How patients make decisions about their future treatment has been sparsely study and with respect to limb amputation, a particularly difficult decision, not at all. An examination of this should furnish nurses vital knowledge about how patients come to the decision to give or refuse this consent.

To reach as deep understanding as possible of how from the patients鈥?point of view they reach the decision to consent to the amputation of a lower limb.

The research was conducted in the qualitative method. Thirty lower-limb amputees (aged 32-88) took part in the study. In-depth interviews were held with the participants. The data were processed by means of content analysis.

The main thematic categories identified were, in the chronological order of their appearance: 鈥楾he trail of torment leading to the decision to amputate鈥? 鈥楾he turning point鈥攖aking the decision鈥?鈥淚 just couldn鈥檛 take any more pain鈥?鈥淲e opt for life, we don鈥檛 want to die鈥? The more protracted and pain-filled the 鈥檛he trail of torment鈥?the more mentally prepared patients were to give consent to amputation. Asked to look back on their choice, almost all interviewees had no regrets and even found virtues in it.

The patients鈥?decisions represented a mix of their grasp of the medical information supplied them by their doctors, their own personal values鈥攐pting for life prevailing over the desire for a whole body, and consideration for their family. The patients saw the decision-making process about amputation as a process of achieving consensus between themselves, their doctors and their family.