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紧急部门观察室患者希望对高胆固醇血症进行评估和治疗:健康信念模型研究
Nicklaus P Ashburn1,2, Anna C Snavely1,3, Laurie S Stanek1
1From the Department of Emergency Medicine, Wake Forest School of Medicine, Winston-Salem, NC.
Critical pathways in cardiology
|July 7, 2023
概括
紧急部门观察单位可以有效地解决高胆固醇血症 (HCL) 护理. 患者对EDOU环境中的HCL教育和管理表现出高度兴趣,感知到的好处超过了障碍.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 高胆固醇血症 (HCL) 在急诊室 (ED) 和ED观察室 (EDOU) 患有胸痛的患者中很普遍.
- 目前的ED/EDOU协议往往没有解决HCL管理问题.
- 这项研究探讨了患者在EDOU环境中对HCL护理的观点.
研究的目的:
- 评估患者对高胆固醇血治疗的态度,在EDOU中启动.
- 利用健康信念模型来了解患者对HCL管理的看法.
- 为了确定基于EDOU的HCL干预的潜在障碍和促进者.
主要方法:
- 对100名成年EDOU患者进行了横截面调查,对胸痛进行了评估.
- 该调查评估了健康信念模型领域:行动提示,感知易感性,感知障碍,感知自我效能和感知好处.
- 采用五分利克特级别来收集答案,并将其分类为"同意"或"不同意".
主要成果:
- 大多数患者 (83%) 认为EDOU适合HCL教育,52%的人对与他们的护理团队讨论HCL感兴趣.
- 报告了高感知敏感度 (88%) 和HCL管理的好处 (95%).
- 感知障碍包括药物成本 (41%),而76%表示对HCL药物敏感.
结论:
- 患者的态度支持在EDOU中整合高胆固醇血护理.
- 高感知易感性,自我有效性和益处表明EDOU发起的HCL干预有利的环境.
- 成本仍然是一个潜在的障碍,但整体患者的兴趣和愿意参与HCL管理是显著的.
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