在安全网医院治疗睡眠手术的障碍:优质的患者体验
Amrita N Bhat1, Amritpal Singh1, Philip Kurien2
1Department of Otolaryngology Head and Neck Surgery, University of California San Francisco, San Francisco, USA.
The Laryngoscope
|March 27, 2025
概括
阻塞性睡眠呼吸暂停 (OSA) 手术的障碍包括对选择的了解不足,护理延迟和财务问题. 提高健康素养和多学科护理可以提高服务不足的患者的获取.
科学领域:
- 耳鼻喉科 - 头部和部手术
- 睡眠医学 睡眠医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术干预对于阻塞性睡眠呼吸暂停 (OSA) 管理至关重要.
- 确保公平获得OSA护理是一个重要的公共卫生问题.
- 安全网医院为面临独特医疗保健挑战的弱势群体提供服务.
研究的目的:
- 调查患者报告的阻断性睡眠呼吸暂停 (OSA) 手术治疗的障碍.
- 了解在安全网医院寻求OSA手术护理的患者的经历.
- 识别限制获得及时有效的OSA手术干预的因素.
主要方法:
- 与15名被诊断患有OSA的成年患者进行了半结构面试.
- 参与者从安全网医院的耳鼻喉科 - 头部和部外科诊所招募.
- 使用共识性定性审查方法的专题分析应用于采访成绩单.
主要成果:
- 发现了睡眠手术的四个主要障碍:对治疗选择的知识有限,医疗服务的延迟,对医疗保健的负面看法以及财务/后勤限制.
- 患者从各种来源获取健康信息,包括医生,社交网络和YouTube和TikTok等在线平台.
- 副主题揭示了每个主要障碍类别内的特定挑战.
结论:
- 关于睡眠手术的知识差距和转诊延误严重阻碍了服务不足人群的OSA手术护理.
- 可访问的教育资源,如视频,可以提高对OSA治疗的健康素养.
- 需要多学科计划来简化关于CPAP疗法的替代方案的讨论.
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