减少长期使用二二烯受体激活剂:与初级保健利益相关者进行深入访谈研究
Kristien Coteur1, Sanne Peters2, Pieter Jansen1
1Department of Public Health and Primary Care, Academic Center for General Practice, KU Leuven, Leuven, Belgium.
概括
长期使用二氨酸受体激活剂 (BZRA) 治疗失眠是复杂的. 社会信仰,协作护理和以患者为中心的目标是减少对这些药物的依赖的关键.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 主要护理医学 医疗保健
背景情况:
- 长期使用二二胺受体激动剂 (BZRA) 治疗失眠是一个重大的公共卫生挑战.
- 目前的初级保健方法不足以解决这个问题的多方面的性质.
研究的目的:
- 从患者,全科医生 (GP) 和药剂师的角度探索影响BZRA长期用于失眠的因素.
- 确定减少BZRA对初级保健的依赖的障碍和促进因素.
主要方法:
- 采用基于理论的方法进行定性研究.
- 在比利时的初级保健中,与24名参与者 (9名患者,6名全科医生,9名药剂师) 进行了深入的半结构面试.
- 使用框架方法进行主题分析,在理论领域框架内进行解释.
主要成果:
- 社会观点,医疗保健实践和患者对催眠使用的行为之间存在反射关系.
- 行为变化受到环境和社会支持的影响,突出了所有利益相关者之间需要建立合作关系的需要.
- 确定了六个关键因素:社会信仰,非药物治疗机会,协作初级保健,以患者为中心的目标,知情同意和自我管理.
结论:
- 长期使用BZRA治疗失眠是一种复杂的公共卫生问题,在初级保健中存在严重的中止障碍.
- 组织和个人障碍阻碍了减少BZRA使用的努力.
- 非医疗化的患者-GP关系对于降低处方率和授权利益相关者减少长期BZRA使用至关重要.
关键词:
这种类型的 benzodiazepines.抑郁症的描述 抑郁症的描述一般的医生一般的医生建立在基础上的理论理论.药物治疗管理 药物治疗管理药剂师是药剂师,药剂师是药剂师.初级医疗保健是一项主要的医疗保健服务.更多相关视频
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