探索影响动机和成功的因素,教导患者佩萨里自我管理:一个定性研究
Renée Börger1,2,3, Evy Maria Bernadette Paulussen4,5, Josephine Eissing4,5
1Department of Obstetrics and Gynaecology, Zuyderland Medical Centre, Heerlen, The Netherlands. re.borger@zuyderland.nl.
International urogynecology journal
|March 20, 2025
概括
皮质器官自我管理 (PSM) 通过增加自主性和减少医生访问,赋予患有骨盆器官脱落 (POP) 的患者权力. 关键的激励因素包括卫生和便利,而焦虑和并发症是障碍,突出了支持性教育的必要性.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 盆地底疾病 盆地底疾病
- 以患者为中心的护理
背景情况:
- 盆腔疗法是一种常见的治疗盆腔器官脱落 (POP).
- 佩萨里自我管理 (PSM) 提供了潜在的好处,如增加患者自主权和减少医疗保健利用.
- 对于患者的体验和对PSM实施的看法,了解有限.
研究的目的:
- 探索患者的经验,意见和需求,涉及到悲观的自我管理 (PSM).
- 调查PSM教学方式,并确定需要改进的领域.
- 为PSM开发一个标准化的使用手册.
主要方法:
- 一项定性研究,采用半结构化采访,对接受POP沙治疗的患者进行定性研究.
- 使用主题内容分析来确定患者体验中的关键主题.
- 采访的重点是关于PSM的初步意见,动机和建议.
主要成果:
- 在接受采访的17名患者中,11名实行PSM,5名拒绝,1名无法.
- 对PSM的激励因素包括自主,卫生和较少的咨询;障碍是焦虑和并发性疾病.
- 患者普遍表示对当前的PSM教学方法感到满意,并建议视频和传单作为有用的资源.
结论:
- 这项研究确定了影响POP患者采用PSM的关键动机和障碍.
- 解决患者的担忧和提供全面的信息对于成功实施PSM至关重要.
- 创造一个支持性的环境是提高患者信心和参与通过PSM管理POP的必要条件.
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