手术前后引起身体功能目标的促进因素和障碍:与临床医生进行的定性研究
Theresa Coles1, Laura S Mkumba1, Leslie Zapata Leiva1
1Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Patient education and counseling
|December 9, 2023
概括
临床医生认为时间,患者的认知能力和家庭的支持是设定身体功能目标的关键. 解决时间和培训不足等障碍可以改善多种慢性疾病患者的目标诱导.
科学领域:
- 老年医学 老年医学
- 康复科学 康复科学 康复科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 引起以患者为中心的身体功能目标对于患有多种慢性疾病的人来说至关重要.
- 术前和术后的目标设定显著影响患者的治疗结果和康复.
研究的目的:
- 探索临床医生对促进者和障碍物产生身体功能目标的观点.
- 了解在手术前和手术后患有多种慢性疾病的患者中的这些因素.
主要方法:
- 使用半结构面试对来自学术医疗中心的12名临床医生进行定性研究.
- 有目的的抽样确保了不同类型的提供商的代表性.
- 用描述性的定性内容分析来总结发现.
主要成果:
- 促进者包括足够的时间,患者的认知能力和家庭支持.
- 障碍包括时间不足,缺乏培训,患者难以确定目标,以及情绪/认知方面的挑战.
- 参与的临床医生有丰富的经验,其中大多数专注于老年病.
结论:
- 时间分配,家庭参与和临床医师培训等可修改因素可以增强目标诱导.
- 医疗机构应实施有针对性的培训和工具,以支持有效的目标设定对话.
- 解决已识别的障碍对于在临床实践中优化身体功能目标设定至关重要.
相关概念视频
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
Guidelines for Writing Outcome
2.8K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.8K
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K


