患有物质使用障碍的住院患者的观点和建议:一种定性研究
Evan A Balmuth1, Sonali Iyer2, David A Scales3
1Weill Cornell Medical College, New York, NY, USA. eab4002@med.cornell.edu.
Journal of general internal medicine
|May 2, 2024
概括
住院患有物质使用障碍 (SUD) 的患者经历了耻辱和不充分的护理. 改善护理需要解决以患者为中心的建议,以提供富有同情心的治疗和恢复支持.
科学领域:
- 医疗保健质量研究研究
- 患者经验研究研究.
- 药物使用障碍 (SUD) 治疗治疗
背景情况:
- 越来越多的住院治疗是因为有物质使用障碍 (SUD) 的人.
- 在医疗住院期间,普遍的耻辱和SUD管理不足.
- 对患者感知到的护理质量和改善建议的理解有限.
研究的目的:
- 探索住院患者与SUDs的观点在积极和消极的护理方面.
- 了解护理经验对患者的影响.
- 收集建议,以提高这一群体的护理质量.
主要方法:
- 半结构化,对15名被诊断患有SUD的住院患者进行了深入的床边访谈.
- 解释性的现象学分析和感应性的专题分析,转录的采访.
- 对患者人口统计和临床数据进行描述性统计分析.
主要成果:
- 积极的经验与感知到的临床和情感能力有关.
- 负面经历的特点是被认为有偏见,耻辱感,临床无能和不人道的待遇.
- 护理组件显著影响了患者的情感福祉,信任和整体护理质量.
结论:
- 患有SUD的住院患者经常因耻辱而获得质量较差,不那么富有同情心的护理.
- 患者的观点揭示了关键的社会情感后果,并为改善护理提供了可行的建议.
- 将护理与患者的观点结合起来,可以将住院治疗转变为参与和恢复促进的机会.
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