我们应该对糖尿病患者进行心房动的查吗? 探索患者的观点
Angela Hall1, Andrew Robert John Mitchell2, Lisa Ashmore3
1Arrhythmia Nurse Specialist Department of Cardiology, Jersey General Hospital, Gloucester Street, St. Helier, Jersey, JE1 3QS.
The British journal of cardiology
|June 19, 2023
概括
接受心房动 (AF) 查的糖尿病患者希望获得明确的信息和方便的访问. 查计划必须考虑患者对技术,结果和整合到常规护理的观点,以更好地包容患者.
科学领域:
- 心脏病学 心脏病学
- 糖尿病管理 糖尿病管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心房动 (AF) 和糖尿病是全球普遍存在的疾病,两者都显著增加了中风风险.
- 患者主导心电图 (ECG) 查应用程序提供了一种AF检测方法.
- 了解患者的观点对于有效的AF查建议至关重要,特别是在糖尿病患者中.
研究的目的:
- 探索糖尿病患者对心房动 (AF) 查的看法.
- 确定影响AF查工具和程序的采用和有效性的以患者为中心的因素.
主要方法:
- 通过移动心电图查研究,对参与者进行了9次半结构化的定性访谈,这些参与者先前通过移动心电图查研究诊断出AF.
- 使用NVivo 12 Plus软件进行了主题分析,以确定与AF理解,查观点,整合到护理和工具感知相关的关键主题.
主要成果:
- 患者对AF的理解涉及"不规则的概念"和"考虑后果".
- 对查的看法包括对其资源密集的看法,对结果的恐惧和对可靠性的期望.
- 将查纳入常规护理的关键因素是方便性,而移动心电图工具同时呈现了"技术作为障碍"和可行性.
结论:
- 引起患者的意见强调了关于AF诊断的明确沟通的需要.
- 查计划必须优先考虑位置,便利性,人员和成本,以提高患者的包容性.
- 整合患者的观点对于优化糖尿病患者AF查策略至关重要.
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