考虑到护士和心力衰竭患者之间关于药物的沟通中的健康素养:一个横截面观察性研究
Anne Geert van Driel1, Ekram Maghroudi2, Annemarie van der Klis3
1Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands; Department of Cardiology, University Medical Center Utrecht University, Utrecht, the Netherlands.
Patient education and counseling
|February 26, 2025
概括
护士经常主持药物谈话,专注于事实. 健康素养较低的患者更多地讨论他们的担忧,强调了心力衰竭护理中的沟通缺口.
科学领域:
- 护理 护理 护理
- 卫生传播健康传播
- 患者教育 患者教育
背景情况:
- 有效的药物管理对于心力衰竭患者至关重要.
- 健康素养显著影响患者对治疗的理解和坚持.
- 当前的沟通策略可能无法充分支持健康素养较低的患者.
研究的目的:
- 分析护士和心力衰竭患者之间与药物相关的讨论.
- 检查健康素养对沟通内容和风格的影响.
- 确定护士如何更好地支持缺乏健康素养的患者.
主要方法:
- 在荷兰诊所对56名心力衰竭患者和14名护士进行横截面研究.
- 用MEDICODE对内容,风格和启动进行分析的录音对话.
- 通过NVS-D和SBSQ评估健康素养,并进行比较描述性分析.
主要成果:
- 59%的患者没有足够的健康素养,通常是年龄较大且受教育程度较低的患者.
- 护士发起了大多数对话,专注于药物指标,剂量和效果.
- 缺乏健康知识的患者更频繁地讨论了态度,情绪和各种担忧.
结论:
- 药物讨论主要由护士主导,以事实为导向,患者开始讨论关注的问题.
- 在健康素养充足和不足的患者之间,主题启动和重点存在差异.
- 对话式沟通方法可以提高患者的参与和理解,特别是对于那些健康素养较低的人来说.
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