在治疗慢性非传染性疾病方面探索治疗沟通:加纳的一项混合方法研究
Ethel Rhodaline Ameworwor1, Hubert Amu2, Robert Kokou Dowou3
1Department of Epidemiology and Biostatistics, Fred Newton Binka School of Public Health, University of Health and Allied Science, Hohoe, Ghana. ameworworethel@gmail.com.
良好的治疗沟通对于管理慢性非传染性疾病至关重要. 尽管总体上是积极的沟通,但语言等障碍可能会阻碍护理,影响患者的满意度和治疗遵守.
科学领域:
- 卫生科学 卫生科学 卫生科学
- 医学沟通 医学沟通
- 公共卫生 公共卫生
背景情况:
- 慢性非传染性疾病 (CNCD) 的全球负担正在上升,许多成年人管理多种疾病.
- 治疗性沟通对于有效的慢性疾病管理至关重要,包括治疗,预防和促进方面.
研究的目的:
- 检查医疗专业人员和患有中枢疾病疾病的患者之间的治疗沟通.
- 识别慢性疾病护理中有效沟通的促进者和障碍者.
主要方法:
- 采用并发混合方法方法,结合定量 (250名患者) 和定性 (8名卫生专业人员) 数据.
- 通过半结构化问卷收集定量数据,并使用STATA v17进行分析.
- 通过深入采访收集了定性数据,并使用Atlas.ti.ti进行了主题分析.
主要成果:
- 59.2%的患者报告了与卫生专业人员的良好治疗沟通.
- 关键的促进因素包括信任,有利的环境和使用简单的语言.
- 发现的主要障碍是语言差异和卫生专业人员无法简化医疗术语.
结论:
- 虽然存在良好的治疗沟通,但语言等障碍可能导致不满,错误诊断和不遵守.
- 改善治疗沟通对于加纳在2030年前实现可持续发展目标3.4的目标至关重要.
- 加纳卫生服务部门应为卫生专业人员实施沟通战略培训,以加强患者与提供者之间的互动.
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