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参与胃肠道健康管理的障碍
Kendra Kamp1, Katherine Gohres2, Lauren K Tormey3
1Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, WA, 98195, USA.
患有胃肠道 (GI) 疾病的患者在获得行为医疗保健方面面临许多障碍. 健康的社会决定因素 (SDoH) 显著增加了这些挑战,需要多层次的干预,以获得公平的护理.
科学领域:
- 胃肠病学 胃肠病学
- 行为健康 行为健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 行为干预对胃肠道 (GI) 疾病有希望.
- 现有的研究往往忽视了健康的社会决定因素 (SDoH) 作为GI行为健康护理的障碍.
- 这些干预措施的实施面临重大挑战.
研究的目的:
- 确定在胃肠道护理中出席预约和健康管理的障碍.
- 探索个人和SDoH因素如何影响参与GI行为医疗保健.
- 确定不成比例地影响与SDoH相关的弱点患者的障碍 (例如,低健康素养,财务不安全).
主要方法:
- 对接受胃肠道病学护理的成年患者进行了一项调查.
- 这项研究于2022年6月至2022年12月期间在达特斯 - 希奇考克医疗中心进行.
- 一百名参与者完成了调查.
主要成果:
- 73%的患者报告了获得护理的障碍,75%报告了影响健康管理的因素.
- 32.3%的参与者有SDoH漏洞.
- 患有SDoH漏洞的患者在预约和健康管理方面遇到更多障碍,包括身体健康问题,财务困难,疼痛,运动限制,创伤,压力和注意力集中障碍.
结论:
- 胃肠道诊所的患者在获得护理和参与健康管理方面遇到许多障碍.
- 解决这些障碍需要创新的多层次战略.
- 确保平等获得优质的胃肠道行为健康服务对于所有患者至关重要.
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