慢性病患者延迟:一种定性研究
Jie Zheng1, Bo-Wen Xue2, Ao-Han Guo1
1School of Nursing, Shanxi Medical University, Shanxi, China.
Medicine
|December 5, 2023
概括
慢性病 (CKD) 的患者延迟是严重的,源于疾病感知,情绪,社会经济因素和资源获取. 解决这些障碍对于及时的医疗咨询和改善患者存活率至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 定性研究方法论 定性研究方法论
背景情况:
- 慢性病 (CKD) 患者延迟寻求医疗咨询是一个重大的全球健康问题.
- 了解这种延迟背后的多方面的原因对于开发有效的公共卫生干预措施至关重要.
- 早期诊断和治疗CKD对于减缓疾病进展和改善患者结果至关重要.
研究的目的:
- 调查患者延迟寻求慢性病 (CKD) 医疗护理的根本原因.
- 为开发有针对性的干预措施提供科学基础,以减轻患者慢性脏病的延迟.
- 通过及时的医疗咨询,加强健康教育策略,提高患者的生存质量.
主要方法:
- 采用现象学方法的定性研究方法.
- 半结构化面对面采访,对14名诊断为慢性病 (CKD) 的患者进行了面对面采访.
- 科拉伊兹的七步分析方法用于深入分析采访数据和提炼主题.
主要成果:
- 出现了四个主要主题来解释患者对CKD的延迟:认知疾病的感知,负面的心理情绪,社会经济地位和有限的医疗资源.
- 患者对自己的疾病的理解显著影响了他们寻求医疗帮助的决定.
- 心理困扰,财务限制和医疗保健的不足是及时咨询的关键障碍.
结论:
- 慢性病 (CKD) 患者延迟的现象普遍存在,并由多种因素的复杂相互作用驱动.
- 医疗保健管理部门和提供者必须实施量身定制的支持性干预和健康教育.
- 提高患者对医疗咨询的重要性的认识,是提高他们在CKD中生存质量的关键.
相关概念视频
01:17Factors Affecting Renal Clearance: Renal Impairment
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Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
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01:27Dialysis
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Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
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01:10Nephrons
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The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
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01:11Renal Failure: Dose Adjustments
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In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
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