实践人员对一般实践中姿势低血压的测量和管理的看法:定性调查
Rosina Cross1, Sinéad Tj McDonagh2, Bethan Treadgold2
1Exeter Collaboration for Academic Primary Care, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK r.cross2@exeter.ac.uk.
概括
医疗保健从业人员需要一种系统的方法来测量和管理姿势低血压,这种情况与严重的健康问题有关. 在一般实践中改善检测对于患者的治疗结果至关重要.
科学领域:
- 一般实践 一般实践
- 心血管健康 心血管健康
- 患者安全 患者安全
背景情况:
- 姿势低血压与认知能力下降,跌倒和死亡率有关,构成重大负担.
- 它通常无症状,使检测和治疗复杂化.
- 英国的一般实践缺乏对其测量和管理的系统方法.
研究的目的:
- 确定改善姿势低血压测量的障碍和促进因素.
- 探索医疗保健从业人员对当前实践的看法.
主要方法:
- 与26名医疗保健从业人员 (HCP) 在英语通用实践中进行的定性采访研究.
- 半结构面试探讨了测量和管理姿势低血压的经验.
- 对转录的采访进行主题分析.
主要成果:
- 医疗人员根据年龄,症状 (头,疲劳) 和慢性疾病确定了有风险的患者.
- 观察到各种各样的诊断定义和测量协议.
- 由于可行性,坐到站的测量被优先考虑,而不是躺到站的测量.
- 教育,培训,激励和专科诊所是建议的改进.
结论:
- 这项研究强调了在一般实践中对体位低血压测量的系统方法的需要.
- 改善检测和管理对于患者护理至关重要.
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