专业人士对性疾病咨询中的突然意外死亡的看法:两个国家的故事
Lance Watkins1,2,3, Oliver Henning4, Paul Bassett5
1University of South Wales, Pontypridd, UK.
European journal of neurology
|June 5, 2024
概括
英国的临床医生比挪威的临床医生更有可能与患者 (PWE) 讨论中突然意外死亡 (SUDEP). 需要改善培训,以加强所有患者的SUDEP沟通和决策.
科学领域:
- 神经学 神经学
- 的研究研究.
- 临床实践 临床实践
背景情况:
- 中突然意外死亡 (SUDEP) 是患者死亡的主要原因.
- 国际指导方针强调了临床医生与患者 (PWE) 之间的SUDEP讨论的重要性.
研究的目的:
- 在英国和挪威的医疗保健专业人员中比较临床医师对SUDEP咨询的观点.
- 确定两国SUDEP沟通实践的差异和障碍.
主要方法:
- 使用混合方法 (Likert和自由文本问题) 的横截面在线调查分发给英国和挪威的临床医生.
- 使用雪球技术采用非概率抽样,使用描述性统计和推理测试 (曼-惠特尼,克鲁斯卡尔-瓦利斯,奇平方,费舍尔精确) 分析定量数据,并通过主题分析分析定性数据.
主要成果:
- 英国临床医生报告了更高的SUDEP经验,更重视SUDEP沟通,并且更有可能与所有PWE讨论SUDEP,特别是新患者.
- 在英国和挪威神经科医生和护士之间的SUDEP咨询中观察到显著差异,英国临床医生显示出更大的支持和更好的丧失支持.
- 主题分析揭示了关于 SUDEP 讨论的四个共同主题和两个特定国家主题.
结论:
- 在临床医生中,犹和避免与SUDEP相关的对话仍然存在,在挪威比在英国更明显,尽管有国际指南.
- 显然需要加强培训和教育,以改善临床医生的沟通,参与和关于PWE与SUDEP的决策.
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