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慢性病和澳大利亚全科医生使用的替代标签:定性面试研究
Michelle Guppy1, Esther Joy Bowles2, Paul Glasziou3
1Institute for Evidence-Based Healthcare, Faculty of Health Sciences & Medicine, Bond University, Gold Coast, Australia mguppy2@une.edu.au.
一般医生 (GPs) 在与老年患者讨论病情时经常使用替代术语,例如"功能下降"而不是"慢性病" (CKD),避免潜在的有关标签.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 一般实践 一般实践
- 医学沟通 医学沟通
背景情况:
- 目前定义慢性病 (CKD) 的指导方针已经有20年了,不考虑年龄.
- 一般医生 (GPs) 在标记老年患者患有CKD时表现出不情愿.
- 由于潜在的沟通障碍,对老年人中CKD的GP术语的调查至关重要.
研究的目的:
- 为了识别医生在描述或给老年患者贴上CKD标签时使用的特定语言.
- 探索一般医生使用CKD替代术语的根本原因.
主要方法:
- 与澳大利亚的全科医生 (GPs) 进行了一项描述性定性访谈研究.
- 通过电子邮件招募了27名全科医生,并接受了关于他们CKD管理策略的采访.
- 参与者被特别问及在与老年患者讨论CKD诊断时使用的语言和术语.
主要成果:
- 使用称为"CKD标签"的替代语言成为一个重要的主题.
- 一般医生经常使用"功能下降"的描述,无论是与正式的CKD诊断一起,还是取代它.
- 对"慢性"和"疾病"术语的担忧影响了全科医生在与患者沟通时选择的术语.
结论:
- 一般医生选择替代性描述,以向老年患者传达轻微的功能下降.
- 需要探索替代标签,准确地传达对老年患者的风险,而不会对与年龄相关的脏变化造成不必要的警报.
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