患者对使用初级保健决策辅助工具进行主动戒烟咨询的反应:一项定性研究
Anne Boesch1, Marie-Anne Durand1,2, Ines Habfast-Robertson1
1University Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland.
患者发现决策辅助工具对于与全科医生讨论戒烟有帮助. 然而,许多人认为戒烟是个人的动机,而不是依赖处方药.
科学领域:
- 主要护理是指初级护理.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 戒烟药物可以使戒烟率增加一倍,但在初级保健机构中未得到充分利用.
- 一般医生 (GPs) 在支持希望戒烟的患者方面发挥着至关重要的作用.
研究的目的:
- 探索患者对其全科医生 (GP) 的主动提供戒烟治疗的观点,使用决策辅助 (DA).
- 了解患者对全科医生在戒烟方面的期望.
主要方法:
- 对来自FIRST随机试验的参与者进行了定性半结构面试.
- 面试是在例行GP访问5-16周后进行的.
- 对面试成绩单进行了双重独立编码的专题数据分析.
主要成果:
- 干预小组中的大多数参与者认为决策辅助工具有用,可用和有价值.
- 患者认为他们的全科医生比专家更好地为戒烟提供道德支持.
- 参与者主要认为个人动机,而不是药物,是戒烟的关键因素.
结论:
- 决策辅助可能是鼓励使用戒烟治疗的可接受工具.
- 积极地介绍治疗选择可以促使患者在准备戒烟时寻求帮助.
- 患者对全科医生的作用和戒烟治疗的有效性的看法可能会成为寻求帮助的障碍.
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