诊断和治疗状样硬化症的障碍:一项调查研究
Arabella Crew1, Rheanne Leatherland2, Louise Clarke2
1University of Nottingham, Nottingham.
概括
医疗保健专业人员需要更好的培训和诊断工具,用于状状硬化 (VLS). 解决知识差距和耻辱是及时VLS诊断和初级保健治疗的关键.
科学领域:
- 皮肤病学 皮肤病学
- 一般的做法一般的做法
- 医学教育 医学教育
背景情况:
- 状样硬化 (VLS) 是一种慢性炎症状况,在初级保健中经常被误诊.
- 患有VLS的女性报告说,由于医疗保健专业人员 (HCP) 缺乏知识和沟通不良,诊断延迟.
- 初级保健是英国VLS妇女最常见的初始呈现点.
研究的目的:
- 调查医疗保健工作人员关于识别,管理和教育皮肤疾病的观点,特别是VLS.
- 确定医疗保健人员在初级保健机构诊断和治疗VLS时所面临的障碍.
- 为VLS制定有针对性的教育干预措施和诊断支持工具提供信息.
主要方法:
- 在英国各地进行了一项混合方法调查研究.
- 122名医疗保健专业人员,主要是全科医生和全科医生实习生,完成了调查.
- 数据分析包括描述性统计,相关性分析和主题分析.
主要成果:
- 37.7%的受访者没有先前接受过皮肤疾病的培训.
- 缺乏知识,使患者感到尬,缺乏诊断标准是VLS诊断的关键障碍.
- 识别阴道皮肤疾病的信心与经验和暴露有积极的相关性.
结论:
- 医疗保健人员承认VLS的培训,转诊途径和诊断工具存在缺陷.
- 开发可重复的VLS诊断标准和针对耻辱的培训是必不可少的.
- 需要进行干预,以加快VLS诊断,改善患者在初级保健中的结果.
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