患有青光眼的非裔美国患者是否会向他们的眼科医生提出他们有的问题?
Bethany Beznos1, Robyn Sayner2, Delesha M Carpenter2
1Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. bethany9@email.unc.edu.
Eye (London, England)
|July 31, 2023
概括
非洲裔美国青光眼患者经常对他们的药物有疑问,但很少有人在预约时问他们. 一个问题列表快速干预表明,超过一半的患者至少提出了一个被检查的问题.
科学领域:
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
- 患者沟通 患者沟通
背景情况:
- 眼的管理需要患者坚持药物治疗.
- 有效的患者-医疗服务提供者沟通对于管理长期疾病,如青光眼,至关重要.
- 患有青光眼的非裔美国患者经常面临药物坚持方面的挑战,并且可能有特定的沟通需求.
研究的目的:
- 描述一个快速列表中选择的非洲裔美国青光眼患者的问题.
- 为了确定这些选择的问题在医疗访问期间被问到的频率.
- 评估一项旨在增加患者提问能力的诊断前干预措施.
主要方法:
- 一项随机对照试验涉及成年非洲裔美国患有青光眼的患者.
- 参与者被随机分配到干预组 (使用问题提示列表) 和常规护理组.
- 患者访问被录音,转录和编码以分析被问到的问题,比较被检查和被问到的问题.
主要成果:
- 93名受试者被随机分配;干预组患者平均检查了6.77个问题.
- 54.8%的检查问题的患者在访问期间至少提出了一个问题.
- 与药物的时间和剂量相关的常见问题.
结论:
- 非洲裔美国青光眼患者表达了关于他们的病情和药物的问题.
- 患者提出的问题和他们在临床接触期间提出的问题之间存在很大的差距.
- 需要进一步的研究来提高提问提示列表的有效性,以改善患者提问.
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