实施由呼吸专业人员为COPD患者提供的心理干预措施. 一个利益相关者采访研究的研究
V Wileman1,2, V Rowland3, M Kelly4
1Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, 58 Turner Street, London, E1 2AB, UK. vari.wileman@kcl.ac.uk.
NPJ primary care respiratory medicine
|October 25, 2023
概括
实施慢性阻塞性肺部疾病 (COPD) 的心理干预需要解决资源限制和改善医疗保健沟通. 综合护理和专业支持是改善患者参与和整体健康结果的关键促进因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理干预 心理干预
- 慢性阻塞性肺病 (COPD) 管理管理
背景情况:
- 在医疗保健中实施心理干预需要了解组织背景.
- 慢性阻塞性肺部疾病 (COPD) 显著影响患者的身体和情感福祉.
- 现有的医疗保健服务在整合COPD患者的心理支持方面可能面临挑战.
研究的目的:
- 探索英国国家卫生服务 (NHS) 内的COPD患者实施心理干预措施的障碍和促进因素.
- 确定影响COPD护理心理支持的采用和有效性的关键主题.
- 为COPD综合心理和身体护理的未来发展和实施策略提供信息.
主要方法:
- 对20名参与COPD护理的英国国家卫生服务 (NHS) 利益相关者进行了定性访谈研究.
- 参与者从初级,二级和委托机构有意抽取样本.
- 分析了半结构面试,使用专题分析来确定关键主题.
主要成果:
- 出现了四个主要主题:患者因情绪困扰而面临的参与挑战,影响服务供应的资源限制,综合护理的重要性以及医疗保健沟通的双重作用.
- 利益相关者表达了对综合护理的承诺,并认识到呼吸专业人员在提供心理支持方面的潜力.
- 重要障碍包括对资源,成本效益,培训,监督和服务整合的担忧.
结论:
- 针对身体和心理症状的整体医疗保健对COPD患者至关重要.
- 充足的培训,监督和服务整合资源对于呼吸专业人员提供心理知情护理至关重要.
- 医疗保健专业人员之间的有效沟通对于成功的干预转诊和接收至关重要,尽管人们普遍致力于综合护理.
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