患者参与以团队为基础的以个人为中心的干预,为患有COPD风险或被诊断患有COPD的患者的经验在一般实践中
Beate-Christin Hope Kolltveit1,2, Marit Graue3, Christine Råheim Borge4,5
1Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway. bchk@hvl.no.
Pilot and feasibility studies
|September 25, 2023
概括
一个结构化的后续计划改善了慢性阻塞性肺病 (COPD) 患者的自我管理技能. 虽然有动力,但指导自决方法需要医疗保健专业人员的大量资源和时间.
科学领域:
- 肺部医学 肺部医学
- 医疗保健管理的管理
- 行为科学 行为科学
背景情况:
- 慢性阻塞性肺病 (COPD) 严重影响日常生活,需要持续的全科医生护理.
- 有效的自我管理支持对于患有或有COPD风险的患者至关重要.
- 开发了一个利用指导自决 (GSD) 的跨学科后续计划,以增强患者的解决问题和共享决策.
研究的目的:
- 通过GSD计划探索患者和医疗保健专业人员的经验.
- 调查在初级保健机构实施GSD计划的可行性.
- 评估GSD计划对COPD自我管理的影响.
主要方法:
- 定性研究设计,采用与患者,护士和全科医生进行半结构化的电话采访.
- 干预涉及12个月的结构化GSD咨询.
- 用专题分析来分析采访数据.
主要成果:
- 患者报告说,通过结构化,以团队为基础的随访,自我管理技能得到了提高.
- GSD方法促进了开放的沟通,但资源密集.
- 定期跟踪对患者来说是实现生活方式改变和健康益处的关键.
结论:
- 该GSD计划显示了改善COPD在初级保健中的自我管理的潜力.
- 结构化,以团队为基础的方法和定期的随访对于患者的成功至关重要.
- 实施的挑战包括医疗保健专业人员的时间承诺和挪威缺乏财政补偿.
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