慢性阻塞性肺病 (COPD) 的成年人的初级保健经验. 一个解释性的现象学调查
Sanduni Madawala1, Narelle Warren2, Christian Osadnik3
1Department of General Practice, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Prahran, Victoria, Australia.
PloS one
|June 23, 2023
概括
患有慢性阻塞性肺病 (COPD) 的吸烟患者在初级保健中经常面临挑战,包括内和对判断的恐惧. 积极主动,有同情心的护理对于改善他们的医疗保健体验至关重要.
科学领域:
- 医疗保健经验的体验 医疗保健经验
- 主要的护理是初级护理.
- 慢性阻塞性肺病 (COPD) 是一种慢性阻塞性肺病.
背景情况:
- 慢性肺炎患者的生活经验揭示了医疗保健提供者面临的挑战,吸烟往往会加剧这些挑战.
- 对吸烟的社区住宿COPD患者的初级保健体验进行了有限的深入探索.
研究的目的:
- 调查目前吸烟或最近戒烟的社区住宿COPD患者的医疗保健经验.
- 了解吸烟模式,成和耻辱对初级保健互动的影响.
主要方法:
- 解释性现象分析 (IPA) 与13名参与者.
- 通过社交媒体和社区团体进行有目的的招聘.
- 通过电话或ZoomTM进行的深入采访,探索患者的经验.
主要成果:
- 常见的问题包括时间有限的咨询和自我倡导的需要.
- 参与者报告了与吸烟有关的内感.
- 积极的经验包括非判断性互动,及时转诊和对全科医生的信任.
- 在COVID-19大流行期间,护理经验的演变.
结论:
- 患有COPD的患者希望从全科医生那里获得积极主动和同情的护理.
- 耻辱和对判断的恐惧有助于延迟寻求帮助的行为.
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