基于社区的环境中冠状动脉心脏病患者的心脏康复的需求和限制:基于焦点小组采访的研究
Li-Chao Ma1,2, Shi-Ning Lou3, Xiao-Li Zhu3
1School of Nursing, Hebei University, Baoding, Hebei, 071000, People's Republic of China.
Patient preference and adherence
|June 12, 2024
概括
冠心病 (CHD) 患者需要更好的社区心脏康复 (CR) 计划. 改善CR资源和患者自我护理,使个人能够获得更好的康复和健康结果.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 康复医学 康复医学 康复医学
背景情况:
- 冠心病 (CHD) 影响着众多个体,需要有效的社区心脏康复 (CR).
- 了解患者的需求和障碍对于优化CR计划实施至关重要.
- 现有的CR计划可能无法完全满足社区住院CHD患者的需求.
研究的目的:
- 探索心脏康复的社区住院患者的心脏病的需求和约束.
- 确定影响社区环境中CR计划有效性的因素.
- 为开发更为定制和成功的CR干预提供信息.
主要方法:
- 采用重点小组采访的定性研究,对11名社区住宿的CHD患者进行了采访.
- 深入分析患者与医疗资源和医疗保健相关的需求和限制.
- 使用Colaizzi的方法进行描述性数据分析.
主要成果:
- 患者在了解他们的病情和CR以及在社会支持方面表现出缺陷.
- 确定的主要主题包括缺乏CR资源 (意识,知识,社会支持) 和患者CR倡议 (自我调整,需要指导,对认知的情感影响,运动态度).
- 患者表示需要专业指导,并认识到情绪稳定对认知功能的好处.
结论:
- 社区医疗团队必须提供全面的,个性化的CR计划.
- 计划应优先考虑患者的变化,偏好,并通过赋权增强自主和自我照顾能力.
- 有效的CR需要关注以患者为中心的护理和量身定制的干预措施.
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