老年患者和透析患者共享决策. 从采访和临床相互作用的民族学话语分析的见解
Maria R Dahm1, Suzanne Eggins Raine1, Diana Slade1
1Institute for Communication in Health Care (ICH), College of Arts and Social Sciences, Australian National University, Canberra, Australia.
Patient education and counseling
|January 17, 2024
概括
老年患者和脏临床医生经常错过透析教育的机会,导致知识差距和被动决策. 改善沟通和培训可以增强慢性病患者的共同决策.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医学教育 医学教育
- 卫生传播健康传播
背景情况:
- 有效的患者教育和共享决策对于患有慢性病 (CKD) 的老年人至关重要.
- 了解临床医生和患者对透析教育和决策的看法对于改善护理至关重要.
研究的目的:
- 分析临床医生和老年患者 (60岁以上) 关于透析教育和决策的观点和沟通实践.
- 在合作过程中识别障碍物和促进者.
主要方法:
- 使用与医生,护士和患者进行半结构面试的定性研究.
- 纳入了民族学观察,书面文物和录音记录自然发生的互动 (教育课程,咨询).
- 从各种数据来源分析主题和语言话语特征.
主要成果:
- 出现了五个关键主题:失去了教育机会,持续的知识差距,患者"忍受"透析,不同参与决策,以及家庭的作用.
- 通过整合采访和互动数据,对CKD教育和透析决策的临床医生和患者的观点得到了平衡.
结论:
- 该研究强调了老年CKD患者在透析教育和决策方面错过的机会.
- 建议包括上下文培训,以提高沟通效率,减少术语,并探索不同的透析方式.
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