Exploring Patients' Perceptions of One-step Surgery for Primary Cutaneous Melanoma: A Qualitative Study.

IF 3.5 4区 医学 Q1 DERMATOLOGY Acta dermato-venereologica Pub Date : 2024-09-24 DOI:10.2340/actadv.v104.40064
Margueritte Lim, Thibault Kervarrec, Youssef Mourtada, Laura Chaput, Jean-Pierre Lebeau, Laurent Machet
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Abstract

High-frequency ultrasonography (> 20 MHz) has allowed for preoperative measurement of melanoma thickness and thus a one-step surgery strategy. The potential benefits of one-step surgery to patients remain unexplored. From June 2022 to August 2023, 2 dermatologists conducted semi-structured individual interviews with patients who had undergone HFUS examination allowing the choice for one-step surgery (group A) and with patients who had had standard two-step surgery (group B). Analysis of interviews with 21 patients (age range 31-81 years) revealed 5 main themes: (a) understanding the diagnosis, highlighting the significance of clear and comprehensive medical explanations; (b) personal factors considered in treatment decisions, including preferences for minimizing surgical procedures; (c) making choices, bearing responsibility, thus showcasing different levels of patient involvement in decision-making; (d) high- frequency ultrasonography reassurance emphasizing the role of medical reassurance, and (e) patient satisfaction, discussing surgical outcomes and the decision-making process. The majority of participants expressed a clear preference for one-step surgery, perceived as a pragmatic and fast surgical strategy while minimizing interventions. In conclusion, the results emphasize the importance of patient-centred care. These insights can guide improved preoperative consultations and enhance shared decision-making between healthcare professionals and patients regarding melanoma treatment strategies.

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探索患者对原发性皮肤黑色素瘤一步到位手术的看法:一项定性研究。
高频超声波检查(> 20 MHz)可以在术前测量黑色素瘤的厚度,从而实现一步手术策略。一步手术对患者的潜在益处仍有待探索。2022 年 6 月至 2023 年 8 月期间,2 名皮肤科医生对接受过高频超声波检查并可选择一步手术的患者(A 组)和接受过标准两步手术的患者(B 组)进行了半结构化单独访谈。对 21 名患者(年龄在 31-81 岁之间)进行的访谈分析显示了 5 个主题:(a) 理解诊断,强调清晰、全面的医学解释的重要性;(b) 治疗决策中考虑的个人因素,包括尽量减少手术程序的偏好;(c) 做出选择、承担责任,从而展示了患者参与决策的不同程度;(d) 高频超声检查保证,强调医学保证的作用;(e) 患者满意度,讨论手术结果和决策过程。大多数参与者明确表示倾向于一步到位手术,认为这是一种务实、快速的手术策略,同时能最大限度地减少干预措施。总之,研究结果强调了以患者为中心的护理的重要性。这些见解可以指导改进术前咨询,并加强医护人员和患者对黑色素瘤治疗策略的共同决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Acta dermato-venereologica
Acta dermato-venereologica 医学-皮肤病学
CiteScore
4.90
自引率
2.80%
发文量
210
审稿时长
6-12 weeks
期刊介绍: Acta Dermato-Venereologica publishes high-quality manuscripts in English in the field of Dermatology and Venereology, dealing with new observations on basic dermatological and venereological research, as well as clinical investigations. Each volume also features a number of Review articles in special areas, as well as short Letters to the Editor to stimulate debate and to disseminate important clinical observations. Acta Dermato-Venereologica has rapid publication times and is amply illustrated with a large number of colour photographs.
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