探索有关糖尿病自我管理的患者-提供者沟通的促进者和障碍
Brenna O Kirk1, Raihan Khan2, Danielle Davidov1
1Department of Social and Behavioral Sciences, West Virginia University School of Public Health, 64 Medical Center Dr., Morgantown, WV 26506-9190, United States of America.
PEC innovation
|July 17, 2023
概括
有效的2型糖尿病管理取决于患者与提供者之间的沟通. 这项研究确定了诸如伙伴关系和教育之类的关键促进因素,以及诸如提供者专注于数据而不是担忧之类的障碍,影响自我护理的坚持.
科学领域:
- 内分泌学和新陈代谢学
- 卫生沟通健康沟通
- 质量健康研究 质量健康研究
背景情况:
- 长期管理2型糖尿病需要有效的自我护理.
- 患者和医疗保健提供者之间的公开沟通对于成功的自我护理至关重要.
- 西弗吉尼亚州面临着糖尿病的高患病率 (16.2%),这强调了需要了解服务不足的人群的沟通动态.
研究的目的:
- 探索影响患者和提供者之间糖尿病特异性沟通的促进者和障碍.
- 找出可以改善患者-提供者对话以更好地自我管理糖尿病的因素.
主要方法:
- 从半结构面试 (n=34) 和焦点小组 (n=23) 中获得的数据进行二次定性分析.
- 参与者参加了一项糖尿病教育计划.
- 用专题分析来分析采访和焦点小组成绩单.
主要成果:
- 促进者包括"患者-提供者伙伴关系"",提供者可访问性"和"通过教育赋权".
- 合作伙伴关系和可访问的提供者,以及教育,加强沟通.
- 障碍包括"提供者关注"数字"而不是患者关注","患者缺乏预约准备",以及"提供者"低调"患者.
结论:
- 在2型糖尿病管理中,患者与医疗服务提供者之间的沟通受患者和医疗服务提供者因素的影响.
- 糖尿病教育计划可以赋予患者沟通和自我宣传技能.
- 这些计划提供了一个有希望的替代方案,以提供者为中心的沟通培训,解决实施挑战.
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