关键词: 老年性睑内翻, 手术, 决策困境, 质性研究

Abstract: Objective: To explore the influencing factors of surgical decision dilemmas in patients undergoing senile entropion, and to provide reference for promoting effective communication between doctors and patients in surgical decision making and correct treatment. Methods: Using the phenomenological research method in qualitative research, 10 patients with senile entropion were included and face-to-face semi-structured in-depth interviews were conducted. The Colaizzi seven-step method was used to analyze the interview data. Results: The main factors influencing the dilemma of surgical decision-making in patients with senile entropion were four aspects including lack of disease awareness from a medical perspective, insufficient social and family support, avoidance coping style, and economic and cultural differences. Conclusion: The influencing factors of surgical decision-making dilemma are relatively complex due to the interaction between individual factors and social and family factors. It is advisable to start with the patient′s family, popularize the effective publicity of senile entropion science knowledge in the society, improve their social support level, carry out personalized health education for the elder patients with different ages, levels and understanding ability, provide targeted decision-making information help, so as to make high-quality decisions, then reduce the dilemma of surgical decision-making.

Key words: Senile entropion, Surgery, Decision-making dilemma, Qualitative study