心血管疾病患者对坚持的意见和看法:对焦点组的定性研究
Álvaro Carbonell-Soliva1, Rauf Nouni-García2,1,3, Adriana López-Pineda4,5,6
1Clinical Medicine Department, School of Medicine, University Miguel Hernández de Elche, Alicante, 03550, Spain.
BMC primary care
|February 16, 2024
概括
患有缺血性心脏病的患者发现管理多种药物具有挑战性,特别是当症状不明显时. 恐惧显著影响治疗坚持,尽管与医疗保健专业人员的积极关系.
科学领域:
- 心脏病学 心脏病学
- 患者坚持的研究研究.
- 质量健康研究 质量健康研究
背景情况:
- 心血管疾病是一个日益严重的全球健康问题.
- 有效的管理需要遵守药理,非药理治疗,以及改变生活方式.
- 了解患者对治疗坚持的看法对于改善治疗结果至关重要.
研究的目的:
- 探索患者对缺血性心脏病治疗坚持的看法和经历的困难.
- 确定影响心脏病患者服药和遵守生活方式的关键因素.
主要方法:
- 采用了一种解释性的现象学方法.
- 数据收集涉及焦点小组和半结构面试.
- 定性数据分析使用MAXQDA进行诱导性解释和主题识别.
主要成果:
- 十二名参与者 (6名男性,6名女性) 参与了重点小组和采访.
- 确定的主题包括个人因素,心脏病的感知,药物治疗的复杂性和医疗保健系统的观点.
- 多药性和缺乏感知症状带来了重大的坚持挑战.
结论:
- 治疗坚持至关重要,但复杂的因素,如多药和症状感知.
- 恐惧成为影响坚持的重要因素.
- 虽然与医疗保健专业人员的关系是积极的,但医疗保健系统协调被视为局限性.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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01:29Assessment of the Cardiovascular System II: Inspection
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Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
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01:25Errors occurring during blood pressure monitoring
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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
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01:29Cardiovascular System Abnormal Findings I: Inspection and Palpation
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In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
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01:28Factors affecting Blood pressure
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Physiological Factors:
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01:10Pre-Procedural Guidelines for Assessing Blood Pressure
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