影响麻风患者遵守治疗的因素:医疗保健提供者的看法
Veincent Christian F Pepito1,2, Arianna Maever Loreche1,2,3, Rae Erica D Samontina1,2
1College of Public Health, University of the Philippines Manila, Manila, Philippines.
Heliyon
|July 28, 2023
概括
医疗保健提供者确定了患者因素和外部影响影响影响麻风治疗的坚持. 关键的推动因素包括对治疗和支持系统的渴望,而障碍包括成本,耻辱和药物反应.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 患者的坚持 患者的坚持
背景情况:
- 坚持治疗对于管理诸如麻风等慢性疾病至关重要.
- 现有的研究主要集中在患者的坚持,忽视了医疗保健提供者的观点.
- 了解提供者洞察力对于改善麻风管理策略至关重要.
研究的目的:
- 探索医疗保健提供者对影响麻风患者治疗坚持因素的看法.
- 从提供者的角度来看,识别患者内在和患者外在的治疗坚持因素和障碍.
主要方法:
- 在菲律宾首都马尼拉,与经验丰富的麻风医疗保健提供者进行了三次焦点小组讨论 (FGD).
- 音频录制的FGDs被转录和翻译.
- 采用专题分析来确定治疗坚持的促进因素和障碍.
主要成果:
- 患者内在的动机包括对治愈的渴望,对传播的恐惧和需要工作许可的需求.
- 患者外部激励因素包括免费治疗,咨询,灵活的时间表和支持小组.
- 障碍包括距离,成本,药物不良反应,误解,残疾,抑郁,药物供应不足和耻辱感.
结论:
- 医疗保健提供者认识到影响遵守的各种患者内在和患者外在因素.
- 提供者态度,耻辱和支持团体在促进治疗坚持方面发挥着重要作用.
- 解决这些多方面的因素是提高麻风治疗结果的关键.
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