主要护理障碍和促进非药物治疗腰部疼痛的促进因素:一种定性试点研究
Eric J Roseen1,2,3, Christopher Joyce4, Sophie Winbush1
1Section of General Internal Medicine, Department of Medicine, Boston University Chobanian & Avedision School of Medicine and Boston Medical Center, Boston, Massachusetts, USA.
概括
在初级保健中治疗腰部疼痛 (LBP) 的非药物治疗障碍包括成本和有限的提供者连接. 社区卫生工作者 (CHW) 可以通过关怀协调等角色帮助克服这些障碍.
科学领域:
- 实施科学 实施科学
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床指南建议非药物治疗作为腰部疼痛 (LBP) 的一线治疗方法.
- 在初级保健中使用非药物治疗的决定因素,特别是在低收入环境中,尚不清楚.
研究的目的:
- 试行一个基于框架的面试指南和代码书.
- 探索在初级保健中使用非药物治疗LBP的障碍和促进因素.
主要方法:
- 与初级保健提供者 (PCP) 和社区卫生工作者 (CHW) 的定性访谈研究.
- 采访以"实施研究综合框架" (CFIR) 为指导.
- 使用先验代码书对转录的采访进行演性内容分析.
主要成果:
- 通过CFIR因素确定的主要障碍/促进因素包括非药物治疗特征 (成本,相对优势),外部环境 (患者资源,社区联系) 和PCP特征 (态度).
- 参与者建议调整CHW角色 (护理协调,资源链接) 以解决障碍,而其他角色 (健康教育) 被认为不太可行.
结论:
- 对非药物治疗LBP治疗的决定因素的初步见解需要在大型多站点研究中进一步调查.
- 未来的研究应该探索医疗保健工作领导的战略,以提高非药物治疗的获取和初级保健的结果.
相关概念视频
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Methods of Documentation VI: Case Management Model
570
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
570
Irritable Bowel Syndrome III: Medical and Nursing Management
197
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
197
Analgesia and Pain Management
585
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
585
Drugs for Treatment of Constipation-Predominant IBS
160
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
160


