关于神经性膀患者尿路感染的感知,经验和信念:一种定性研究
Margaret A Fitzpatrick1,2, Pooja Solanki3, Marissa Wirth3
1Center of Innovation for Veteran-Centered and Value-Driven Care, Rocky Mountain Regional VA Medical Center, Aurora, CO, United States of America.
PloS one
|November 1, 2023
概括
患有神经性膀 (NB) 的患者经历尿路感染 (UTI). 护理人员的参与和与医疗保健提供者更好的沟通显著改善了尿路感染的管理和自我有效性,以管理这种常见的疾病.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 尿路感染 (UTI) 在患有神经性膀 (NB) 的个体中很普遍.
- 有限的了解存在关于患者的感知,经验和信念围绕在这个人口中尿路感染.
- 神经性膀通常是脊髓损伤/疾病 (SCI/D) 或多发性硬化症 (MS) 的结果.
研究的目的:
- 探索成年人的感知,经验和信念与NB关于尿路感染.
- 确定影响NB患者尿路感染管理的因素.
- 为开发以患者为中心的干预措施提供信息,用于尿路感染管理.
主要方法:
- 使用11个虚拟焦点小组进行的定性研究,其中23名退伍军人被诊断患有NB (由于SCI/D或MS).
- 数据分析采用了一种混合方法,包括演代码 (健康信念模型) 和归纳代码 (基础理论).
- 在2021年5月至2022年5月期间,从三个退伍军人事务 (VA) 医疗中心招募了参与者.
主要成果:
- 出现了三个主要主题:照顾者的影响,医疗环境/提供者的特点,以及护理障碍/促进者.
- 护理人员对寻求护理的行为,家庭护理和患者的自我效能产生了积极的影响.
- 积极的患者-提供者关系和知识博的提供者增强了自我效能;提供者沟通或知识不佳对认知产生了负面影响.
结论:
- 在NB患者中治疗尿路感染的干预措施应更积极地整合护理人员.
- 改善患者与医疗服务提供者之间的沟通对于改善尿路感染治疗至关重要.
- 针对不熟悉NB的医疗保健机构和提供者类型,可以克服护理障碍.
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