初级保健实践中的自我管理支持 (SMS):对护理专业人员经验的定性焦点小组研究
Lotte Timmermans1, Dagje Boeykens2,3, Muhammed Mustafa Sirimsi4
1Academic Centre of General Practice, KU Leuven, Kapucijnenvoer 7, Box 7001, 3000, Leuven, Belgium. lotte.timmermans@kuleuven.be.
BMC primary care
|March 1, 2024
概括
医疗保健专业人员将自我管理支持 (SMS) 视为慢性疾病的协作和以人为中心. 成功实施需要量身定制的策略,解决患者,提供者和外部障碍.
科学领域:
- 主要护理是指初级护理.
- 慢性疾病管理 慢性疾病管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 创新的自我管理支持 (SMS) 干预措施对于慢性疾病护理至关重要.
- 许多干预措施在患者,提供者和医疗保健系统层面实现持续改进方面面临挑战.
- 了解医疗保健专业人员的观点对于有效的SMS干预设计和实施至关重要.
研究的目的:
- 探索医疗保健专业人员在佛兰德初级保健环境中的自我管理支持 (SMS) 的观点.
- 确定实施SMS干预措施的感知障碍和促进者.
- 为制定更有效,更适合环境的SMS策略提供信息.
主要方法:
- 使用五个重点小组与来自佛兰德斯不同学科和环境的医疗保健专业人员进行定性研究设计.
- 以最大变异为目的的抽样确保了具有代表性的参与者池.
- 根据Attride-Stirling的框架进行主题网络分析,用于数据分析.
主要成果:
- 34名医疗保健专业人员参加了会议,确定了三个全球主题:SMS的特点,支持策略和障碍/促进因素.
- 短信的特点是以合作为中心,以人为中心的方法,建议混合信息,教育和协作策略.
- 与患者相关的因素,医疗保健提供者的能力和外部影响被确定为关键障碍和促进因素.
结论:
- 在慢性疾病管理中,以人为中心的协作方法对于有效的SMS至关重要.
- 干预措施应侧重于提高认识,并积极解决SMS所发现的障碍.
- 有效的SMS需要个性化的适应和持续的发展,因为通用方法是不够的.
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