在COPD中取得转诊成功的道路:通过专门讨论肺部康复计划来提高患者参与度
Sarah Hug1, Vinicius Cavalheri2, Kylie Hill3
1Curtin School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Australia; Department of Physiotherapy, Royal Perth Hospital, Perth, Western Australia, Australia.
Respiratory medicine
|September 1, 2024
概括
对于慢性阻塞性肺病 (COPD) 的肺康复计划 (PRPs) 的成功转诊取决于医疗保健专业人员 (HCP) 了解患者的心理,并传达PRP的价值. 专注的对话促进了患者的参与和成功的转诊.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 健康心理学 心理健康心理学
- 医疗保健管理的管理
背景情况:
- 慢性阻塞性肺病 (COPD) 管理需要有效的患者参与康复.
- 肺部康复计划 (PRP) 对于改善COPD患者的治疗结果至关重要.
- 成功转诊为PRP是COPD护理中的关键,但往往具有挑战性的步骤.
研究的目的:
- 从医疗保健专业人员 (HCP) 和COPD患者的角度探索影响成功转诊到肺复原计划 (PRP) 的因素.
- 确定优化PRP转诊过程的关键决定因素,用于COPD患者.
主要方法:
- 一项采用半结构面试和焦点小组的横截面定性研究.
- 针对38名医疗保健工作者和15名COPD患者进行了有目的的抽样.
- 分析使用反射主题分析来确定核心主题.
主要成果:
- 医务人员的职业责任,理解和组织文化影响了转介决策.
- 患者的心理感知,超越他们的COPD诊断,影响准备PRP.
- 有效的双向沟通和关于PRP的专注对话对于成功的推至关重要.
结论:
- 在治疗相互作用期间进行专门的对话可以显著提高COPD患者的PRP转诊成功率.
- 医疗保健人员应该解决患者的心理感知,并传达PRP的价值和热情.
- 优化沟通和了解患者的准备是提高肺部康复参与和转诊成功的关键.
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