对结核病直接观察治疗的看法和经验:来自混合方法横截面研究的见解
Diana Amorim1, João Pedro Ramos2,3,4, Pedro Barbosa2,3,4
1. Serviço de Pneumologia, Unidade Local de Saúde Região de Leiria, Leiria, Portugal.
概括
葡萄牙的患者和医疗保健专业人员对结核病治疗策略有不同的看法,例如直接观察治疗 (DOT) 和视频观察治疗 (VOT). 了解患者的经验是改善患者坚持治疗和治疗结果的关键.
科学领域:
- 公共卫生 公共卫生
- 传染病管理 传染病管理
- 医疗保健提供系统
背景情况:
- 对结核病 (TB) 的直接观察治疗 (DOT) 带来了重大的心理社会负担和后勤挑战.
- 像视频观察疗法 (VOT) 这样的替代策略提供了可比结果,改善患者满意度和降低成本的潜力.
- 评估患者和医疗保健专业人员 (HCP) 的观点对于优化结核病治疗坚持策略至关重要.
研究的目的:
- 评估葡萄牙患者和卫生保健人员对DOT和其他结核病治疗策略的看法.
- 识别经验中的差异,并为未来的坚持计划的设计提供信息.
主要方法:
- 在葡萄牙北部地区,对33名结核病患者和29名医疗保健工作人员进行了问卷调查.
- 通过千平方测试和主题分析分析数据,以比较群体观点.
- 关注过去两年内在维拉诺瓦德盖亚门诊结核病中心接受治疗的患者.
主要成果:
- 关于DOT对结果的影响出现了显著的差异,卫生保健工作者注意到的负面影响比患者更多.
- 患者强调了DOT的挑战,包括旅行,成本和运输,同时重视个人对遵守的责任.
- 两组人都对VOT表达了兴趣,因为方便,尽管患者和医疗人员都提出了担忧.
结论:
- 患者经验和卫生保健工作者对结核病治疗策略的看法之间存在着显著的差距.
- 加强沟通和更深入地了解患者的观点对于有效的结核病坚持计划至关重要.
- 根据个体患者的需求和经验量身定制治疗策略对于成功的结核病管理至关重要.
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