将心理社会护理整合到骨科环境中:提供者观点的定性研究
Mira Reichman1, Ellie A Briskin2, Brooke A Duarte2,3
1University of Washington, Department of Psychology, Seattle, WA, USA.
International journal of integrated care
|December 11, 2023
概括
整形医疗保健专业人员认为,整合心理社会服务对受伤患者有好处. 这可以提高患者的满意度并降低医疗保健成本,尽管存在诸如耻辱感等挑战.
科学领域:
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
- 医疗保健管理健康管理
背景情况:
- 大约50%的骨科损伤患者经历了心理社会困扰,这可能导致慢性疼痛和残疾.
- 将心理社会服务整合到骨科环境中可以显著提高患者的康复和长期结果.
研究的目的:
- 探索医疗保健专业人员对整合性心理社会护理在骨科环境中的看法.
- 收集关于在骨科患者护理中实施心理社会服务的建议.
主要方法:
- 与79名骨科医疗保健专业人员进行了18个半结构化焦点小组.
- 利用由彩虹模型的综合护理框架指导的二次数据分析方法.
- 采用混合感应 - 演定性数据分析.
主要成果:
- 医疗保健专业人员确定了心理社会融合在临床,专业,组织,系统,功能和规范层面的好处.
- 感知到的好处包括改善患者满意度,减少管理困境的提供者负担,以及降低医疗保健利用成本.
- 确定了诸如快节奏诊所和心理健康耻辱等障碍,并提出了适用于整合的可行的建议.
结论:
- 综合心理社会护理具有显著的潜力,可以改善骨科创伤患者的康复和整体身体和心理健康.
- 这些发现提供了指导心理社会服务整合在骨科环境中的开发和实施的策略.
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