探索患者的观点:对门诊亲肠道抗菌疗法 (OPAT) 经验的混合方法研究
Sophie Peter1,2, Charlotte Oberröhrmann3, Holger Pfaff4,5
1Chair of General Practice II and Patient-Centredness in Primary Care, Institute of General Practice and Primary Care, Faculty of Health, Witten/Herdecke University, Witten, Germany. sophie.peter@uni-wh.de.
在德国,患者报告对门诊亲肠道抗菌疗法 (OPAT) 的高满意度. 虽然最初对自主管理的担忧已被克服,但建议改善OPAT的组织方面.
科学领域:
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 门诊亲肠道抗菌疗法 (OPAT) 为住院护理提供了替代方案,国际研究显示患者满意度增加.
- 在德国,OPAT被零星地使用,缺乏有关患者经验和关切的结构化数据.
- 这项研究解决了在德国试点地区了解OPAT患者观点的需要.
研究的目的:
- 探索在德国试点地区接受门诊亲肠道抗菌疗法 (OPAT) 的患者的经验和担忧.
- 确定有助于患者对OPAT的满意度的关键因素.
- 收集关于改善德国OPAT服务供应的建议.
主要方法:
- 在德国的一个试点地区进行了一项采用解释顺序混合方法设计的观察性研究.
- 对58名患者进行了调查,以收集他们OPAT体验的定量数据.
- 与12名患者进行了深入采访,以获得对他们的担忧和满意度的定性见解.
主要成果:
- 患者对OPAT表达了整体满意度,特别重视医院出院后在家继续治疗的能力.
- 医疗保健提供者有效地管理了患者对自给药的初始担忧.
- 患者赞赏与护理人员的定期联系,但建议改善组织检查预约和信息提供.
结论:
- 患者普遍报告了对门诊亲肠道抗微生物疗法 (OPAT) 的积极经验和满意度.
- 该研究强调,需要扩大和改善德国的治疗结构,以确保全面和高质量的OPAT护理.
- 解决组织方面的问题和加强信息传播可以进一步优化OPAT患者的旅程.
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