在息治疗中实施心理存在性症状评估尺度:对利益相关方观点的定性分析
Natasha Michael1, Gaye Moore2, Jane Appleton3
1University of Notre Dame, Sydney, NSW, Australia; Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, VIC, Australia.
Patient education and counseling
|September 11, 2024
概括
心理存在性症状评估尺度 (PeSAS) 是可行的,在适当的临床医生培训后在息治疗中可以接受. 实施需要解决技术人员的可用性和患者因素等障碍,以实现可持续的心理存在性症状管理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- 精神存在的痛苦显著影响了息治疗中的患者.
- 有效的评估工具对于及时干预和改善患者结果至关重要.
- 心理存在症状评估尺度 (PeSAS) 是为了满足这一需求而开发的.
研究的目的:
- 评估PeSAS在现实世界的息护理环境中的可行性,可接受性,整合性和可持续性.
- 确定与PeSAS实施相关的障碍和好处.
- 评估临床医生的使用PeSAS的信心和能力.
主要方法:
- 在9个息治疗服务中,与31个关键利益相关者进行了半结构化访谈.
- 参与者从参与PeSAS实施的人中有意抽取样本.
- 数据分析使用了决定因素框架.
主要成果:
- 益处包括一种通用沟通语言,痛苦的识别,改进的转诊,痛苦的承认和增强的患者代理.
- 障碍包括临床医生的技能差距,患者因素 (妄想,疾病阶段),避免终身讨论,IT限制和参与问题 (语言,文化,健康素养).
结论:
- 通过适当的临床医师培训,PeSAS查是可行的和可以接受的.
- 成功的整合需要解决已识别的障碍,包括人员培训,资源和明确的转介途径.
- 定性调查对于开发和实施新的干预措施是有价值的.
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