瘤患者愿意在家中报告他们的药物安全问题:一项定性研究
Deema Bunni1, Grace Walters1, Misun Hwang1
1School of Nursing, University of Michigan, Ann Arbor, USA.
概括
瘤学患者的患者.
科学领域:
- 在瘤学瘤学.
- 患者安全 患者安全
- 卫生沟通健康沟通
背景情况:
- 瘤学患者在护理过渡期间面临药物管理和不良事件的挑战.
- 患者有望自我监测并报告药物安全问题.
- 有效的报告对于优化患者安全和护理质量至关重要.
研究的目的:
- 探索影响瘤病患者愿意在回家后报告与药物相关的不良事件的因素.
- 了解患者在转型后报告药物安全问题的观点.
主要方法:
- 在护理过渡一年内对成年癌症患者 (乳腺癌,前列腺癌,肺癌,结直肠癌) 进行定性采访研究.
- 通过电话采访进行半结构化采访,以探索报告药物安全事件的感知.
- 对转录的采访进行主题数据分析.
主要成果:
- 确定了影响报告的三个主要主题:患者与临床医生的关系 (沟通质量,信任),感知不良事件的严重程度,以及患者在自我管理中的激活 (自我有效性,参与).
- 患者与临床医生的关系质量和信任显著影响报告行为.
- 事件的认知严重程度和患者在自我管理中的自我有效性是关键因素.
结论:
- 患者与临床医生的关系是药物安全报告的关键因素.
- 加强健康沟通,了解患者对事件严重性的看法,促进患者激活至关重要.
- 以患者为中心的方法对于改善瘤治疗中的药物安全至关重要.
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