提供者记录和患者报告的尿路感染症状的混合方法分析,这些症状发生在患有神经性膀的退伍军人中
Marissa Wirth1, Pooja Solanki, Frances M Weaver
1From the Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital, Hines, Illinois (MW, PS, FMW, CTE); Parkinson School of Health Sciences and Public Health, Loyola University Chicago, Maywood, Illinois (FMW); Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania (KJS); Department of Medicine, Center for Research on Healthcare, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania (KJS); Spinal Cord Injury/Disorders Service, VA Puget Sound Healthcare System, Seattle, Washington (SPB); Department of Physical Medicine and Rehabilitation, University of Washington School of Medicine, Seattle, Washington (SPB); Department of Medicine, Division of Infectious Diseases, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin (NS); Department of Medicine, Division of Infectious Diseases, William S. Middleton VA Hospital, Madison, Wisconsin (NS); College of Nursing, University of Illinois Chicago, Chicago, Illinois (EC); Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, Chicago, Illinois (CTE); Center of Innovation for Veteran-Centered and Value-Driven Care, Rocky Mountain Regional VA Medical Center, Aurora, Colorado (MAF); and Department of Medicine, Division of Infectious Diseases, University of Colorado Anschutz Medical Campus, Aurora, Colorado (MAF).
在神经性膀患者中诊断尿路感染 (UTI) 是具有挑战性的,因为症状模两可,导致过度使用抗生素. 改善患者与医疗服务提供者之间的沟通,并彻底评估所有迹象和症状,可以优化尿路感染护理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 神经学 神经学
背景情况:
- 在神经性膀患者中,不适当的尿路感染 (UTI) 诊断导致过度使用抗生素.
- 神经性膀的模两可的症状使准确的尿路感染诊断变得复杂.
- 以前的研究从电子医疗记录中收集了与尿路感染相关的迹象和症状.
研究的目的:
- 在神经性膀患者中描述患者报告的尿路感染的迹象和症状.
- 为了比较患者的经验与提供者关于尿路感染的迹象和症状的文档.
- 确定改善该人口中尿路感染诊断和护理的领域.
主要方法:
- 有23名退伍军人的神经性膀和尿道感染诊断的定性焦点小组.
- 焦点组转录的混合演和归纳编码.
- 质量数据与电子病历的比较.
主要成果:
- 患者和提供者都认识到非特异性症状,如尿液变化作为尿路感染的指标.
- 患者和提供者之间观察到关于其他尿路感染征兆和症状的不一致.
- 患者报告说,提供者有时忽视了除发烧或之外的其他症状.
结论:
- 优化尿路感染护理需要加强患者与医疗服务提供者的沟通,以了解症状和体征.
- 对所有报告的迹象和症状进行彻底的诱导和评估对于在神经性膀中准确诊断尿路感染至关重要.
- 解决症状不一致性可以减少过度使用抗生素并改善患者的治疗结果.
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