法国COPD诊断的十二个障碍:一个比较的定性研究
Guillaume Roucoux1, Elisabetta Scanferla2,3, Mathieu Delorme4,5
1Independent researcher, Paris, France contact@guillaumeroucoux.com.
BMJ open respiratory research
|January 22, 2025
概括
诊断慢性阻塞性肺病 (COPD) 需要克服患者面临的多达12个障碍,从最初的症状到专家护理. 解决这些障碍需要患者,医疗保健提供者和卫生当局的共同努力.
科学领域:
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 慢性阻塞性肺病 (COPD) 是一种常见的,可治疗的疾病,通常是晚诊断的.
- 尽管存在风险因素和暗示症状,但诊断经常会延迟.
研究的目的:
- 为了确定慢性阻塞性肺病 (COPD) 诊断的自然史中遇到的障碍.
- 了解患者的临床诊断途径.
主要方法:
- 使用结构化访谈的诱导性主题分析进行定性研究.
- 法国15名患者和15名医生 (全科医生和肺科医生) 的有目的抽样.
- 两位研究人员之间的数据三角化,遵守COREQ指南.
主要成果:
- 确定了患者诊断过程中的三个阶段和12个不同的障碍.
- 障碍包括缺乏COPD知识,否认症状,害怕肺癌,延迟咨询,以及初级和专业护理方面的问题.
- 专门护理的具体障碍包括诊断前的治疗,迟到的转诊,以及难以访问专家和测试.
结论:
- 在接受COPD诊断之前,患者可能会面临多达12个累积障碍.
- 患者,全科医生,肺科医生和卫生当局之间的共同责任对于改善诊断护理途径至关重要.
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