在COVID-19疫情期间寻求帮助和获得中风和心脏病发作护理:一项定性研究
Christina Weis1, Georgia Spiliopoulos2,3, Agnieszka Ignatowicz4
1School of Allied Health Sciences, Centre for Reproduction Research, De Montfort University, Leicester, UK.
Sociology of health & illness
|September 20, 2024
概括
患有中风,暂时性缺血病或心脏病发作的患者在COVID-19封锁期间遇到了医疗保健接入挑战. 了解症状感知和风险影响了寻求帮助的行为,而国家信息和卫生系统紧张.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了医疗保健的准入.
- 弱势群体,包括中风和心脏病发作幸存者,在封锁期间寻求及时医疗护理方面面临着独特的挑战.
研究的目的:
- 为了调查中风,暂时性缺血性攻击 (TIA) 或心脏病发作患者在COVID-19封锁期间如何寻求医疗保健.
- 了解影响寻求帮助决策的因素,以及流行病相关信息对紧急护理准入的影响.
主要方法:
- 在2020年3月至2021年5月期间,对27名因中风,TIA或心脏病发作入院的患者进行了半结构化采访.
- 包括一名护理人员和从英格兰两个大型NHS信托机构的心脏和中风康复服务中招募的参与者.
主要成果:
- 对症状的理解,风险感知和国家信息传递对寻求医疗保健的决定产生了重大影响.
- 模两可的公共卫生沟通和对卫生服务的感知压力影响了患者寻求帮助的行为.
- 候选,疾病和道德工作的概念是患者体验的核心.
结论:
- 研究结果突出了个人认知,社会因素和在健康危机期间获得医疗保健的复杂相互作用.
- 在系统紧张期间,改善公共信息和对危及生命的疾病的医疗保健准入的重要性至关重要.
- 政策制定应考虑患者的理解和风险感知,以确保及时获得紧急护理.
相关概念视频
01:17Ischemic Heart Disease: Overview
1.2K
Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and...
1.2K
01:27Regulation of Stroke Volume
3.2K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
3.2K
01:23Assessment of the Cardiovascular System I: Subjective Data
282
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
282
01:20Exercise and Cardiovascular Response
745
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
745
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:11Secondary Healthcare System
1.4K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.4K