心力衰竭患者获得心理健康服务:一种定性研究
Amika Shah1,2, Anam Shahil Feroz3,2, Robert P Nolan4,5,6
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada amika.shah@mail.utoronto.ca.
BMJ open
|May 16, 2025
概括
对心力衰竭患者 (PLWHF) 获得心理健康护理的障碍存在于系统和患者层面. 改善服务的可靠性,可用性和患者的心理健康素养可以提高护理准入.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 精神健康状况在患有心力衰竭 (PLWHF) 的人群中未得到充分的认可和治疗.
- 获得心理健康服务对于PLWHF的综合护理至关重要.
研究的目的:
- 确定影响心力衰竭患者获得心理健康服务的因素.
- 了解PLWHF精神卫生保健的系统和患者层面的障碍.
主要方法:
- 与13名PLWHF和9名临床医生/研究人员进行了半结构化的电话采访.
- 利用感应反射主题分析来确定关键主题.
- 应用了Levesque以患者为中心的护理准入框架.
主要成果:
- 识别了系统层面的障碍:服务可靠性不佳,可用性/住宿有限,负担能力问题.
- 确定了患者层面的障碍:心理健康素养低,耻辱,亲自分娩的不便,以及高成本.
- 创建了14个主题,突出了获得护理的多方面的挑战.
结论:
- 建议提高服务的可靠性,可用性和适当性.
- 促进患者对心理健康需求的认识是关键的干预目标.
- 解决已识别的障碍可以改善PLWHF的精神卫生保健服务.
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