在慢性阻塞性肺病患者中,与不遵守自我管理相关的因素:使用德尔菲技术和分析层次过程的调查
1College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science, Gwangju, Republic of Korea.
概括
了解为什么慢性阻塞性肺病 (COPD) 患者不坚持自我管理是关键. 这项研究确定了14个关键因素,包括长期治疗和治疗失败,以改善COPD护理.
科学领域:
- 肺部医学 肺部医学
- 医疗保健服务研究 医疗服务研究
- 患者坚持性研究
背景情况:
- 在慢性阻塞性肺病 (COPD) 中不遵守自我管理,会阻碍有效的患者护理.
- 确定影响COPD自我管理遵守的关键因素对于开发有针对性的干预措施至关重要.
研究的目的:
- 优先考虑与不遵守COPD自我管理相关的因素.
- 建立一个层次框架,以了解COPD自我管理和不遵守.
主要方法:
- 使用了三轮的Delphi调查和分析层次过程 (AHP) 与15个专家小组.
- 综合了系统文献审查,定性访谈和德尔菲轮的综合发现,以开发一个概念框架.
- 评估内容有效率 (CVR) 为专家共识,并使用AHP进行因子权重.
主要成果:
- 确定了53个潜在因素,其中22个符合Delphi调查中的CVR值.
- 通过Delphi和AHP一致确定了14个因素,突出了它们的意义.
- 影响不坚持的关键因素包括治疗时间长,之前的治疗失败,以及关于药物效果的不确定性.
结论:
- 在14个关键因素上达成共识,这些因素有助于COPD自我管理的不遵守.
- 为COPD自我管理和不遵守建立了一个系统的,层次化的框架.
- 建议进行进一步的研究,以制定基于证据的干预策略,针对已确定的因素.
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