一般医生为患有严重精神疾病的患者提供体质护理的经验:一种定性研究
Alexandra Brandt Ryborg Jønsson1,2,3, John Brandt Brodersen4,5,6, Susanne Reventlow4
1Center for General Practice, University of Copenhagen, Copenhagen, Denmark. ajoensson@ruc.dk.
BMC primary care
|March 23, 2024
概括
一般医生 (GPs) 面临的挑战是管理严重精神疾病 (SMI) 患者的体质护理. 提供足够的咨询时间对于解决这一群体复杂的健康需求至关重要.
科学领域:
- 一般实践 一般实践
- 心理健康 心理健康
- 初级保健研究研究初级保健研究
背景情况:
- 患有严重精神疾病 (SMI) 的患者体验到更差的健康结果和更高的死亡率,通常是由于未解决的身体状况.
- 对SMI患者的护理分散在多个提供者之间,尽管全科医生在初级保健中发挥着核心作用.
- 一般医生是管理SMI患者体质健康的关键,需要了解他们的护理经验.
研究的目的:
- 探索全科医生在为SMI患者提供体质护理方面的经验.
- 确定全科医生所面临的挑战以及他们使用的策略.
- 为改善严重精神疾病患者的初级保健提供信息.
主要方法:
- 与十五名全科医生进行了深入的,半结构化的访谈.
- 在一般实践咨询期间的民族学观察.
- 采访成绩单和现场笔记的解释性现象学分析 (IPA).
主要成果:
- 总医生报告说,在管理慢性体质性SMI患者的护理方面存在重大挑战,包括复杂的患者需求,与症状相关的行为,分散的护理和时间限制.
- 全科医生制定了战略来应对这些挑战.
- 所有的全科医生都强调了为协商准备,执行和后续工作提供足够时间的必要性.
结论:
- 对SMI患者进行体质护理的管理给全科医生带来了许多挑战,但被视为至关重要和有益的.
- 在一般实践中增加咨询时间对于满足SMI患者的体质治疗需求至关重要.
- 调查结果强调了需要系统支持,以加强对这一弱势群体的初级保健服务.
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