探索阿片类药物使用障碍住院患者之间的沟通和护理偏好:一种定性描述性研究
M Holliday Davis1, Rachel French, Molly Crowe
1Center for Addiction Medicine and Policy, University of Pennsylvania, Philadelphia, PA (MHD); Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (MHD); School of Nursing, University of Pennsylvania, Philadelphia, PA (MHD); National Clinician Scholars Program, University of Pennsylvania, 423 Guardian Drive, Philadelphia, PA (RF); Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA (RF); Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (MC); Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (MA); College of Arts and Sciences, University of Pennsylvania, Philadelphia, PA (GE); Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA (SA); School of Nursing, University of Pennsylvania, Philadelphia, PA (SA); Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, PA (DSM); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (DSM); Research Director, Center for Addiction Medicine and Policy, University of Pennsylvania, Philadelphia, PA (ML); Leonard Davis Institute for Health Economics, University of Pennsylvania, 3641 Locust Walk, Philadelphia, PA (ML); and Division of General Internal Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA (ML).
患有阿片类药物使用障碍 (OUD) 的住院患者优先考虑清晰,同情的沟通和共享决策. 这些要素对于改善他们的护理和培养对医疗保健团队的信任至关重要.
科学领域:
- 医学沟通 医学沟通
- 以患者为中心的护理
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物使用障碍 (OUD) 在住院治疗中提出了复杂的挑战.
- 有效的沟通对于成功的患者结果和治疗坚持至关重要.
- 了解患者的优先事项可以提高OUD患者的护理质量.
研究的目的:
- 探索住院患者对有效沟通和护理的优先事项.
- 确定患者与住院护理团队互动的偏好中的关键主题.
- 为改善OUD治疗中的沟通策略提供信息.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 与被诊断患有阿片类药物使用障碍 (OUD) 的住院患者进行.
- 记录和转录的采访的主题内容分析.
主要成果:
- 出现了三个主要主题:有效性,互惠性和沟通中的同情心.
- 患者希望从提供者那里获得清晰,频繁和协作的沟通.
- 非常重视承认患者经验和个性的非耻辱互动.
结论:
- 有效,同情的沟通和共享的决策是OUD患者的首选.
- 这些沟通策略可能会改善住院患者OUD的治疗结果.
- 调查结果强调需要减少耻辱和扩大OUD治疗资源.
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