患者对护士主导的新型跨学科自我管理干预 (INSELMA) 的经验 - - 一个定性评估
Nadine Schäffer Blum1, Bente Appel Esbensen2,3, Mikkel Østergaard2,3
1Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Copenhagen University Hospital Rigshospitalet, Glostrup, Denmark. nadine.schaeffer.blum@regionh.dk.
BMC rheumatology
|March 1, 2024
概括
患有炎症性关节炎的患者发现INSELMA自我管理计划有益. 这种由护士协调的干预改善了症状,活动水平和自我管理技能,提供了新的希望.
科学领域:
- 类风湿病学 类风湿病学
- 患者自我管理
- 复杂的干预 复杂的干预
背景情况:
- 慢性炎症性关节炎显著影响患者的日常生活,尽管药理学的进步.
- 在INSELMA干预被开发为护士协调,多学科的自我管理方法.
- 它针对类风湿性关节炎,牛皮性关节炎和轴性脊柱关节炎.
研究的目的:
- 为了探索患者对六个月INSELMA干预的经验.
- 了解自我管理计划的感知好处和促进者.
主要方法:
- 在干预后,与15名参与者进行了单独的半结构化访谈.
- 用专题分析来分析定性数据.
主要成果:
- 参与者认为INSELMA是解决影响生命的疾病症状的及时机会.
- 人为中心的目标设定,包括身体,心理和社会因素,被高度重视.
- 同情的支持,与医疗保健专业人员的合作伙伴关系以及获得相关卫生服务的机会至关重要.
- 大多数参与者报告说,症状负担减少,身体功能改善,情绪改善,自我管理能力提高,表达了新的希望.
结论:
- 患者认为INSELMA干预是有意义的和可行的.
- 它有效地减少了疾病的影响,提高了活动水平.
- 医疗保健专业人员的同情心和自我管理支持是干预成功的关键.
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