关闭诊所揭示了对耐药结核病的护理:一种定性研究
Thiloshini Govender1, Jennifer J Furin2, Alex Edwards3,4
1King Dinizulu Hospital Center, Durban, South Africa.
BMC infectious diseases
|July 17, 2023
概括
患有耐药结核病 (DR-TB) 和艾滋病毒的患者在诊所关闭后感到不满,这凸显了综合,以人为中心的护理对治疗成功的重要性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 以患者为中心的护理
背景情况:
- 呼吁在耐药结核病 (DR-TB) 护理中以人为中心的方法有所增加.
- 南非的一家分散的诊所,提供综合DR-TB和HIV护理,于2020年关闭.
- 在转移到集中设施后,检查了患者对护理连续性和获取权的观点.
研究的目的:
- 探索患者在关闭诊所后对耐药结核病 (DR-TB) 和艾滋病毒治疗的经验.
- 从患者的角度确定以人为中心的护理的关键要素.
- 为未来的DR-TB护理模式提供信息,以改善治疗的延续.
主要方法:
- 进行了定性访谈,以探索诊所转移对患者的影响.
- 在采访数据的专题分析中使用了有根据的理论.
- 评估了患者在护理连续性,沟通和治疗环境方面的经验.
主要成果:
- 患者表示对在单一地点失去综合护理感到不满.
- 在集中设施中观察到护理连续性和沟通质量的下降.
- 患者在转移后经历了与疾病相关的耻辱感和不那么尊重的治疗.
结论:
- 关闭强调了综合,以人为中心的DR-TB和HIV患者护理的关键作用.
- 失去熟悉的,支持性的环境会对患者的体验和对护理质量的认知产生负面影响.
- 这些发现可以指导DR-TB护理的运营,以提高治疗坚持和结果.
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