患者与临床医生的相互作用在共享的糖尿病/科咨询中 - - 一项定性观察研究
Leah Sejrup Christensen1, Eithne Hayes Bauer2,3,4, Jette Primdahl4,5,6
1Department of Internal Medicine, University Hospital of Southern Denmark, Aabenraa, Denmark.
Scandinavian journal of caring sciences
|September 3, 2024
概括
在共享诊所的患者应对复杂的健康需求,平衡日常生活与医疗建议. 了解患者的观点是有效的共享护理的关键,特别是在慢性病和糖尿病患者中.
科学领域:
- 医疗保健管理的管理
- 以患者为中心的护理
- 定性研究方法 定性研究方法
背景情况:
- 全球慢性病发病率不断上升,需要医疗保健系统进行调整.
- 分享的门诊咨询旨在提高护理的一致性,并降低多种疾病患者的成本.
- 关于在共同专科咨询中患者与临床医生的相互作用的理解有限.
研究的目的:
- 探索糖尿病和慢性病患者在共享门诊诊所的患者与临床医生的互动.
- 调查多种慢性疾病患者如何体验和导航共享护理设置.
主要方法:
- 使用参与者观察和非正式现场采访进行的定性民族学研究.
- 包括17名参与者 (9名男性,8名女性;平均年龄67.3).
- 数据分析以布劳恩和克拉克的反射主题分析和克莱曼的疾病和疾病理论为指导.
主要成果:
- 总体主题:"一个涵盖疾病和疾病的咨询".
- 小题目:专注于生理测量,谈判治疗决策 (例如透析),不同的沟通风格 (生物医学和基于疾病的解释),以及患者对日常生活的优先考虑.
- 患者平衡生理和心理社会挑战,临床医生在专注于生物医学方面时错过了谈判机会.
结论:
- 以患者为中心的沟通在共同咨询中至关重要,以解决疾病和疾病经历.
- 临床医生应该认识到患者对日常功能的优先考虑,并将谈判纳入治疗计划.
- 需要进一步的研究来验证这些发现在不同的环境中.
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