解释喘息:通常的解释可能会导致喘息患者的不适应性信念吗?
Marie T Williams1, Hayley Lewthwaite1,2,3, Dina Brooks4
1Innovation, IMPlementation and Clinical Translation in Health (IIMPACT), University of South Australia, Adelaide, SA 5000, Australia.
Healthcare (Basel, Switzerland)
|September 28, 2024
概括
医疗保健专业人员通常通过专注于医疗条件和生理学来解释慢性呼吸困难. 然而,氧气水平和呼吸困难之间的关系是一个困难的概念,可能导致患者的不适应信念.
科学领域:
- 肺部医学 肺部医学
- 患者沟通 患者沟通
- 健康心理学 心理健康心理学
背景情况:
- 医疗保健专业人员的解释显著塑造了患者对健康状况的信念.
- 了解慢性喘息如何向患者解释至关重要,但尚未得到充分研究.
研究的目的:
- 调查和记录医疗保健专业人员对慢性喘息的解释.
- 识别患者对呼吸困难的解释中使用,避免或发现困难的关键概念.
主要方法:
- 一项调查分发给了澳大利亚的物理治疗,呼吸系统医学和息护理专业协会.
- 收集了关于慢性喘息解释的自由文本答复,并使用内容分析进行了分析.
主要成果:
- 61名临床医生参与了调查,其中大多数 (93%) 经常讨论喘息问题.
- 解释通常引用的医疗条件 (70%) 和生理机制 (44%).
- 不一致的氧化-气喘关系是一个常见的困难概念,可能会培养不适应的信念.
结论:
- 这项研究提供了当前医疗专业人员对慢性呼吸不良的解释的例子.
- 结果作为开发解释的基础,促进适应性患者的信念.
- 进一步的研究可以探索如何优化沟通以改善患者的理解和结果.
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