探索老年糖尿病患者关于他们寻求健康行为的决策经验:一项描述性的定性研究
Qiu Hui Du1, Jin Hong Yang2, Zi Chen Zhang1
1Department of Nursing, Harbin Medical University(Daqing), Daqing, China.
BMJ open
|October 18, 2024
概括
中国老年糖尿病患者由于缺乏风险感知和支持而表现出低水平的健康决策. 干预措施应改善疾病认知和应对方式,以获得更好的健康结果.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病是一个重大的全球健康挑战,在中国等发展中国家的负担越来越大.
- 中国糖尿病患者的低治疗率 (32.2%) 源于非理性寻求健康的行为.
- 了解老年患者的决策对于预防并发症和改善医疗保健系统至关重要.
研究的目的:
- 探索中国老年糖尿病患者在寻求医疗保健的决策过程中的主观经验.
- 在这个人口群体中确定影响健康寻求行为的因素.
- 为目标干预和医疗保健系统改进提供信息.
主要方法:
- 使用了定性描述现象学的方法.
- 与11名老年糖尿病患者进行了半结构化的深度访谈.
- 数据分析使用了QSR NVivo 12.0和Colaizzi的七步方法.
主要成果:
- 确定的主要主题包括:低疾病风险感知,负面应对方式,严重的医疗/经济负担,以及家庭/社会支持不足.
- 对医疗服务的不满也是一个突出的发现.
- 这些因素共同导致健康追求的决策水平较低.
结论:
- 老年糖尿病患者表现出低水平的健康寻求行为决策.
- 干预措施应侧重于增强疾病认知,修改应对方式,提高决策能力.
- 政策制定者必须使医疗资源的分配与患者的需求和期望保持一致.
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