在公共艾滋病毒诊所中以人为中心的沟通模式:使用Roter互动分析系统进行潜在类分析
Njekwa Mukamba1, Chanda Mwamba1, Salil Redkar2
1Centre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Journal of the International AIDS Society
|July 6, 2023
概括
在赞比亚的艾滋病毒护理中,以人为中心的沟通 (PCC) 是不常见的,通常仅限于短暂的互动. 加强PCC,包括共享决策,可以改善艾滋病毒治疗计划.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 艾滋病毒 医学 艾滋病毒 医学
背景情况:
- 糟糕的客户-提供者沟通阻碍了艾滋病毒感染者长期留在护理中.
- 在非洲艾滋病毒护理中进行沟通的标准化评估有限.
- 以人为中心的沟通 (PCC) 对于有效的患者-提供者关系至关重要.
研究的目的:
- 用罗特互动分析系统 (RIAS) 量化描述赞比亚艾滋病毒护理中以人为中心的沟通 (PCC) 行为模式.
- 在艾滋病毒后续访问中确定客户-提供者沟通的不同配置文件.
- 为了比较PCC行为在客户端,提供商,交互和设施特征中的分布.
主要方法:
- 在赞比亚卢萨卡 (Lusaka) 的24个卫生部设施中,录制了艾滋病毒感染者及其提供者对艾滋病毒常规随访的录音.
- 使用罗特交互分析系统 (RIAS) 来编码通信行为.
- 采用隐性类分析来识别基于PCC行为不同的通信配置文件.
主要成果:
- 确定了四种不同的沟通配置文件,其中47.6%的互动具有"医疗导向互动,最小的PCC行为"的特点.
- 只有7.5%的互动是"高度以人为中心",具有平衡的医疗/非医疗重点和高PCC.
- 与医务人员 (33.9%) 和临床人员 (27.3%) 相比,护士互动更有可能表现出更高的PCC行为 (44.8%). 较长的交互也结合了更多的PCC行为.
结论:
- 在赞比亚的艾滋病毒护理中,以人为中心的沟通行为是罕见的,通常仅限于简短的建立关系和微观实践.
- 加强PCC,包括共享决策和利用提供者自由裁量权,对于提高艾滋病毒治疗计划质量至关重要.
- 可能需要有针对性的干预措施,以增加艾滋病毒护理机构中PCC的流行率和深度.
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