在艾滋病毒患者中进行结核病检测的尿样采集的经验和看法:一个多站点的定性描述性研究
Pascale Lissouba1, Sekai C Mathabire Rücker2, Lucy Atieno Otieno3,4
1Field Epidemiology and Training Department, Epicentre, Paris, France Pascale.LISSOUBA@epicentre.msf.org.
BMJ open
|November 30, 2023
概括
用于结核病 (TB) 诊断的尿液采样得到了患者的良好接受,他们发现它很容易,并更喜欢它而不是唾液测试. 改善采样经验可以提高这种重要的诊断工具的采用率.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 关于尿基结核病 (TB) 诊断试验的患者接受度的证据有限.
- 了解患者的体验对于实施关心点结核病检测至关重要.
研究的目的:
- 描述患者在关怀点对结核病检测尿样采集的经验和看法.
- 确定影响尿基结核病诊断方法可接受性的因素.
主要方法:
- 这是一项定性描述性研究,涉及到肯尼亚,乌干达,莫桑比克和南非的58名成人门诊艾滋病毒患者.
- 个人采访进行,翻译,转录,并使用内容分析进行分析.
主要成果:
- 尿样采集被认为是简单,快速和无痛的,参与者更喜欢它而不是唾液,以简单和减少耻辱感.
- 接受度受到了对结核病的感知易感性,健康价值和积极的医疗保健相互作用的影响.
- 患者希望在同一天得到结果,促进者包括隐私,明确的说明和足够的供应.
结论:
- 尿样采集是结核病诊断的公认方法,特别是在医疗保健中心.
- 提高患者体验的策略可以促进尿基结核病检测的普及.
- 这些发现支持更广泛地实施基于尿液的分析来检测结核病.
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