患者对与健康相关的社会需求的看法和干预建议:一种定性研究
Tessa K Novick1, Michelle Osuna2, Caroline Emery2
1Division of Nephrology, Dell Medical School, University of Texas at Austin, Austin, Texas; Department of Internal Medicine, Dell Medical School, University of Texas at Austin, Austin, Texas.
概括
接受血液透析的社会经济地位较低的人面临着无法满足的社会需求,这会恶化他们的健康状况. 干预措施应侧重于增加支持和社区资源,以提高自我效能和福祉.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 低社会经济地位与较高的功能衰竭率有关.
- 与健康相关的社会需求显著影响慢性疾病患者的结果.
- 血液透析患者经常经历未满足的社会需求,影响他们的整体幸福感.
研究的目的:
- 探索低社会经济地位的血液透析患者对其与健康相关的社会需求的观点.
- 为解决这些社会需求的干预措施确定以患者为导向的建议.
主要方法:
- 采用了定性研究设计.
- 半结构面试对接受血液透析的32名参与者进行了半结构面试.
- 使用常量比较方法对面试数据进行主题分析.
主要成果:
- 七个关键主题出现了,包括意外的功能衰竭,被认为是提供者的忽视,透析的有害影响,无能及财务压力.
- 参与者强调通过信仰和支持系统来激励坚持不.
- 建议侧重于促进自我有效性的干预措施,例如社区资源和支持小组的导航.
结论:
- 血液透析加剧了财务压力,社会需求加剧了透析相关的压力.
- 参与者强调需要增加支持和社区资源.
- 干预措施的目的应该是通过将患者与当地资源和同行支持联系起来来增强患者的自我效能和福祉.
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