"卡住或不稳定" - - 一般医生和患有复杂慢性疾病的患者之间的伙伴关系:定性研究
Mads Aage Toft Kristensen1, Mette Bech Risør2,3, Andreas Søndergaard Heltberg3
1Centre for General Practice, The Research Unit for General Practice in Region Zealand and Copenhagen, Section for General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark lsd632@sund.ku.dk.
BJGP open
|January 8, 2025
概括
患者-GP合作面临着复杂疾病慢性护理方面的挑战. 解决冲突和在情感上支持患者是改善治疗联盟和护理质量的关键.
科学领域:
- 一般实践 一般实践
- 慢性护理管理 慢性护理管理
- 患者与医生的关系 患者与医生的关系
背景情况:
- 有效的慢性护理依赖于强有力的患者-全科医生 (GP) 合作.
- 复杂的健康问题,包括多病症,心理社会因素和成,可能会阻碍这种伙伴关系.
- 了解协作动态对于复杂患者群体的优质护理至关重要.
研究的目的:
- 调查全科医生和患有复杂健康问题的患者如何在慢性护理关系中感知和应对挑战.
- 探索患者-医生双人团使用的策略,以管理他们在合作伙伴关系中的困难.
主要方法:
- 在贫困的丹麦农村地区进行的定性研究.
- 半结构面试与12名面临复杂慢性病症和治疗坚持问题的患者-GP二合一.
- 在数据分析中采用了系统的文本缩写.
主要成果:
- 患者和医生之间的合作被归类为"陷入困境"或"不稳定".
- 常见的挑战包括无效的咨询,生活方式冲突,患者辞职,隐信息和绝望的感觉.
- 有效的管理涉及冲突解决,以患者为中心的调整,关系适应和持续的情感支持.
结论:
- 护理的关系方面对于管理复杂健康状况的患者和全科医生来说至关重要.
- 尊重患者优先事项的强有力的治疗联盟对于改善护理结果至关重要.
- 解决关系挑战对于增强复杂需求患者的慢性护理至关重要.
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