在初级卫生保健中的慢性身体疾病患者中,以资源为导向的方法 (DIALOG+) 的可接受性 - 乌干达,定性研究
Racheal Alinaitwe1, N Nakasujja2, H Birabwa-Oketcho3
1Department of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda. rarukiri@gmail.com.
BMC primary care
|December 20, 2024
概括
在乌干达,对于患有慢性身体疾病的患者来说,DIALOG+干预是可以接受的. 这种方法改善了患者与临床医生的关系,并有助于管理身体和心理上的痛苦.
科学领域:
- 全球健康 全球健康
- 心理健康整合精神健康整合
- 初级医疗保健研究 研究初级医疗保健研究
背景情况:
- 慢性身体疾病经常与心理困扰和心理健康状况同时发生.
- 在乌干达,将心理健康服务纳入初级保健面临重大后勤障碍.
- 像DIALOG+这样的以资源为导向的干预措施显示出改善慢性病管理的前景.
研究的目的:
- 评估在乌干达治疗慢性身体疾病的患者中DIALOG+干预措施的可接受性.
- 探索患者和临床医师在乌干达初级保健机构实施DIALOG+的观点.
主要方法:
- 混合方法研究的定性组成部分.
- 在乌干达两家医院的慢性身体疾病门诊所进行.
- 包括15个深入的患者访谈,10个关键临床医生访谈和4个患者重点小组,以主题分析.
主要成果:
- 发现DIALOG+干预是可以接受的,患者参与的意愿表明了这一点.
- 参与者报告说,患者与临床医生的关系得到了改善,身体疾病和心理困扰得到了更好的管理.
- 参与者提供了优化DIALOG+实施的建议.
结论:
- 在乌干达的初级医疗保健机构中,DIALOG+干预对患有慢性身体疾病的患者是可以接受的.
- 这些发现支持DIALOG+在类似环境下改善慢性病综合护理的潜力.
相关概念视频
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Patient-centered Care
1.9K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
1.9K
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.7K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.7K
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K


