非洲裔美国患者-提供者沟通关于青光眼的视力生活质量
Betsy Sleath1,2, Bethany Beznos3, Delesha M Carpenter3
1Division of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. betsy_sleath@unc.edu.
Eye (London, England)
|August 14, 2023
概括
患者与医疗服务提供者的讨论关于青光眼的讨论.
科学领域:
- 眼科医生 眼科 眼科
- 卫生沟通健康沟通
- 健康差异 在健康上的差异
背景情况:
- 患有青光眼的非裔美国患者经常遇到生活质量方面的挑战.
- 关于生活质量影响的沟通在这个人群中并不明白.
- 了解这些沟通模式对于改善患者护理至关重要.
研究的目的:
- 调查患者人口统计和与视觉相关的生活质量之间的关联.
- 确定患者和提供者之间关于青光眼相关生活质量的讨论的频率和性质.
- 确定影响这些讨论的因素,包括患者和提供者特征.
主要方法:
- 成年非洲裔美国患有青光眼的患者被招募并完成了生活质量评估.
- 患者被随机分配到干预组 (收到提示列表和视频) 和常规护理组.
- 对患者与医疗服务提供者访问的音频录音进行了分析,以讨论与眼有关的生活质量.
主要成果:
- 只有12.3%的访客讨论了与眼有关的生活质量.
- 卫生素养较低,抑郁症状较强,重症绿内障患者报告生活质量较差.
- 当患者看到同一个种族的提供者时,讨论更频繁.
结论:
- 患者和提供者之间关于与青光眼有关的生活质量的沟通是罕见的.
- 测试的干预措施没有显著改善通信频率.
- 建议加强住院计划的培训,以解决患者的生活质量讨论.
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