慢性阻塞性肺病中药物服用行为的障碍和促进因素:定性采访研究
Torbjørn Nygård1, David Wright2, Reidun L S Kjome3
1Centre for Pharmacy, Department of Clinical Science, University of Bergen, P.O. Box 7804, 5020, Bergen, Norway. torbjorn.nygard@uib.no.
International journal of clinical pharmacy
|February 5, 2025
概括
了解慢性阻塞性肺病 (COPD) 的药物坚持是非常重要的. 这项研究确定了患者服用药物的障碍和促进因素,为改善COPD管理和医疗保健服务提供了见解.
科学领域:
- 肺部医学 肺部医学
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响生活质量,并导致高医疗费用,通常是由于住院治疗和恶化.
- 药物,特别是吸入器,对于减少COPD恶化和住院治疗至关重要.
- 在COPD中影响患者遵守药物治疗方案的因素仍然不完全理解.
研究的目的:
- 探索COPD患者对药物使用的经验.
- 识别和描述影响COPD患者服用药物行为的障碍和促进因素.
- 应用理论领域框架 (TDF) 来对这些行为进行结构化分析.
主要方法:
- 对十名住院COPD患者进行了半结构化的定性访谈.
- 采用了系统的文本凝聚,用于对面试数据的诱导性初级分析.
- 将定性发现映射到TDF领域进行二次分析,识别障碍和促进因素.
主要成果:
- 出现了五个主要主题:健康素养,患者自主权,药物获取,感知药物的有效性和与药物相关的经验.
- 鉴定出了13种不同的障碍物和9种促进药物坚持的因素.
- 这些障碍和推动因素在14个TDF领域中的9个领域被绘制为地图.
结论:
- 患有COPD的人面临着与他们的药物相关的重大挑战,需要医疗保健提供者和研究人员的注意.
- 鉴定的障碍和促进因素,由TDF结构化,为设计有针对性的干预措施和改善COPD患者的医疗保健服务提供基础.
相关概念视频
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K
01:22Chronic Obstructive Pulmonary Disease
1.1K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.1K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
3.6K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
3.6K
01:26COPD: Management Using Bronchodilators and Corticosteroids
174
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
174
01:21Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K