骨科患者坚持的复杂性:一项定性研究,以确定障碍,并制定坚持合作伙伴关系的战略
Kylee Rucinski1, James L Cook1, Lisa A Royse1
1University of Missouri, Columbia, Missouri, USA.
Musculoskeletal care
|September 11, 2023
概括
患者对骨科治疗的坚持是复杂的. 一个新的模型显示,医疗保健团队,而不仅仅是患者,影响了坚持,为更好的患者结果铺平了道路.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健管理的管理
- 患者坚持的研究研究.
背景情况:
- 患者遵守治疗方案至关重要,但定义不佳.
- 解决不遵守的机制需要进一步调查.
- 骨科医疗保健团队对坚持的观点未被充分探索.
研究的目的:
- 在骨科的背景下定义坚持.
- 识别影响患者坚持治疗的障碍和促进因素.
- 通过骨科医疗保健团队的镜头来探索坚持.
主要方法:
- 使用接地理论原则进行定性研究.
- 八个焦点小组与骨科医疗保健团队成员进行了讨论.
- 探索影响患者遵守治疗计划的因素.
主要成果:
- 医疗团队成员确定了影响患者坚持治疗的各种因素.
- 不遵守可以是有意识的选择或由于患者面临的障碍.
- 开发了一种初步模型,即治疗坚持障碍和促进因素 (BETA) 模型.
结论:
- 坚持受患者和医疗保健系统因素的影响,而不仅仅是患者.
- 贝塔模型为研究干预和管理策略提供了基础.
- 赋予医疗保健团队权力可以改善患者的坚持,并优化骨科干预后的结果.
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