新加坡个性化护理和支持规划:与糖尿病患者进行定性访谈
Monica Lazarus1, Tong Wei Yew1,2, Wee Hian Tan3
1Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore, Singapore.
BJGP open
|November 9, 2023
概括
个性化护理和支持规划 (CSP) 改善了新加坡患者的糖尿病自我管理. 通过支持性沟通和规划工具,PACE-D计划增强了患者的参与度和信心.
科学领域:
- 医疗保健管理的管理
- 以患者为中心的护理
- 糖尿病管理 糖尿病管理
背景情况:
- 个性化护理和支持规划 (CSP) 是一种以人为中心的方法来管理长期疾病.
- 通过社区赋权/参与糖尿病管理 (PACE-D) 的患者激活计划适应了新加坡多诊所糖尿病患者的CSP.
研究的目的:
- 探索参与PACE-D计划的糖尿病患者在新加坡多诊所接受个性化CSP的经验.
主要方法:
- 定性研究涉及2020年7月至2021年11月期间在国家大学综合诊所 (NUP) 对52名糖尿病患者进行深入的半结构面试.
- 使用有目的抽样招募参与者,这些参与者经历了个性化的CSP.
- 采访被转录和分析,使用布劳恩和克拉克的反射主题分析.
主要成果:
- 出现了四个主题:护理计划信对患者准备的意义,项目协调员作为倡导者的关键作用,与专注的提供者进行个性化CSP对话的价值,以及在自我管理中加强患者代理权.
- 患者报告说,当获得足够的时间和支持时,他们的信心和自我管理技能增加了.
- 语言信心影响了患者参与CSP过程.
结论:
- 通过PACE-D计划实施的个性化CSP显示了改善糖尿病护理患者参与和自我管理的潜力.
- 解决语言障碍对于最大限度地使患者参与个性化护理规划至关重要.
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