患者对雾化抗生素的态度在支气管病的治疗中:一种混合方法研究
John Davison1, Anna Robinson-Barella2,3, Gareth Davies1
1Adult Bronchiectasis Service Freeman Hospital, Newcastle upon Tyne, UK.
支气管切除症患者发现,每日雾化抗生素是负担,影响其坚持. 他们更喜欢通过干粉装置吸入抗生素以方便使用,如果在预防恶化方面同样有效.
科学领域:
- 肺部医学 肺部医学
- 药理学 药理学是指药理学的学科.
- 患者体验研究 研究研究
背景情况:
- 雾化抗生素是一种常见的每日治疗严重支气管支障.
- 对于患者对雾化抗生素治疗的看法,人们的理解有限.
- 这项研究调查了患者对治疗支气管病的看法和偏好.
研究的目的:
- 探索使用雾化抗生素的患者的生活经验.
- 确定患者对雾化抗生素治疗的态度和偏好.
- 为促进开发更为以患者为中心的支气管切除症治疗选择提供信息.
主要方法:
- 通过重点小组和与患者和护理人员的半结构化访谈进行定性数据收集.
- 对转录的采访进行主题分析,以确定关键主题.
- 基于定性发现的问卷的共同设计,以评估患者的偏好.
- 对来自101名患者的问卷数据进行定量分析.
主要成果:
- 雾化抗生素治疗被认为是对日常生活的强加,对坚持有负面影响.
- 10%的患者发现雾化抗生素的给药很困难.
- 53%的患者更喜欢吸入器而不是雾化器,如果疗效可比;只有10%希望继续雾化治疗.
结论:
- 支气管切除症患者经常发现雾化抗生素难以施用和坚持.
- 通过干粉吸入器输送的吸入抗生素是患者喜欢的,因为他们觉得很容易和快速使用.
- 患者偏好强烈支持吸入抗生素而不是雾化选择,只要在预防恶化方面具有同等的有效性.
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