患者对初级保健快速呼吸道微生物点检测的看法:一种定性研究
Rebecca Clarke1, Emily Brown2, Alastair D Hay2
1School of Psychological Science, University of Bristol, Bristol, UK rebecca.clarke@bristol.ac.uk.
BMJ open
|June 25, 2025
概括
患者对呼吸道感染的快速微生物点检测 (RM-POCT) 有好评. 有效的沟通是最大限度地提高效益和最大限度地减少意外结果的关键.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 患者体验 患者体验
背景情况:
- 快速微生物点检测 (RM-POCTs) 在减少对呼吸道感染 (RTIs) 过度使用抗微生物药物方面表现有前途.
- 对RTIs的RM-POCT患者和家长的看法还不太清楚.
研究的目的:
- 探索患者和家长对RTIs的RM-POCTs的经验.
- 了解RM-POCT如何影响治疗决策,症状管理和未来寻求医疗保健的行为.
主要方法:
- 用深入的半结构面试进行的定性研究.
- 以现实的方法进行主题分析.
- 参与者从疑似RTIs的多重RM-POCT初级保健试验中招募.
主要成果:
- 参与者普遍认为RM-POCTs是有利的,减少了诊断不确定性.
- 对于一些患者来说,RM-POCTs影响了抗生素感知和结果预期.
- 一些患者感到无效或需要更多的支持;未来的咨询可能会持续到自我限制的症状或焦虑.
结论:
- RM-POCT有潜力提高自我效能,并减少同一种疾病的重新诊断.
- 有效的临床医生沟通和患者教育对于优化RM-POCT使用至关重要.
- 尽量减少意想不到的结果需要提高患者对何时需要初级保健的理解.
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