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一个住院患者的青素过敏脱标途径的经验:捕捉患者的声音
Neil Powell1,2, Mathew Upton2, Bridie Kent3
1Pharmacy Department, Royal Cornwall Hospital, Truro TR1 3LJ, UK.
JAC-antimicrobial resistance
|February 12, 2024
概括
非过敏学家对青素过敏的取消标签在英国医院中不是常规的. 患者接受取决于对个性化风险和益处的明确沟通,有些人由于伴随疾病或害怕在不适时进行测试而下降.
科学领域:
- 临床医学 临床医学
- 患者体验 患者体验
- 医疗保健政策 医疗保健政策
背景情况:
- 非过敏学家对青素过敏的取消标签 (PADL) 是指导方针支持的,但不是英国的标准做法.
- 在PADL之后报告了高接受率,但继续避免或减少测试的原因尚不清楚.
研究的目的:
- 探索非过敏学家对青素过敏评估和取消标签的患者经验.
- 确定阻碍和促进患者在英国医院环境中接受PADL的障碍.
主要方法:
- 使用半结构面试进行的定性研究.
- 19名患者在住院期间 (2022年11月至2023年1月) 接受了青素过敏评估和取消标签.
- 对面试数据进行主题分析.
主要成果:
- 患者往往不知道青素过敏对医疗保健的负面影响.
- 在急性不适时对测试有不同的看法;一些人由于感知到更高的风险 (年龄,并发症) 而下降.
- 改善风险/益处沟通可能会说服一些拒绝测试的人.
结论:
- 成功取消标签的患者报告了积极的经验.
- 拒绝测试的原因包括虚弱,并发症或害怕在生病时进行测试.
- 对个性化风险和好处进行有效的沟通对于PADL接受至关重要.
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