医疗保健和社区利益相关者对实施痴呆和抑郁症患者行为激活干预的障碍和促进者的看法:使用规范化过程理论进行定性研究
Frida Svedin1, Oscar Blomberg1, Anders Brantnell1,2
1Healthcare Sciences and E-Health, Department of Women's and Children's Health, Uppsala University, Uppsala, 751 85, Sweden.
BMC geriatrics
|December 7, 2023
概括
这项研究探讨了在瑞典为患有抑郁症的痴呆症患者实施指导行为激活干预的障碍和促进因素. 结果将为可行性研究提供信息,以应对挑战并优化干预措施的采用.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抑郁症在痴呆症中很普遍,影响生活质量和功能.
- 对于患有抑郁症的痴呆症患者来说,获得心理干预的机会是有限的.
- 引导低强度行为激活是一种潜在的干预策略.
研究的目的:
- 了解瑞典对痴呆症患者和护理人员的现有支持.
- 用规范化过程理论识别干预采用的障碍和促进者.
主要方法:
- 与25名医疗保健和社区利益相关者进行半结构化访谈和焦点小组.
- 使用基于规范化过程理论的两步演方法分析数据.
主要成果:
- 确定了12个演性和3个归纳性类别,与一致性,认知参与和集体行动有关.
- 关键障碍:护理人员负担,劳动力短缺,资源限制,患者缺乏对需要的认知,以及耻辱.
- 关键促进者:干预有潜力填补治疗缺口,利益相关者就好处达成协议,医疗保健专业人员愿意指导.
结论:
- 确定了干预实施的障碍和促进因素.
- 基于证据的策略将用于克服已识别的障碍.
- 可行性研究将进一步评估实施潜力,可接受性和可行性.
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