代情境的参与视角:跨越癌症查阶段的创造意义的挑战
Daniela Lemmo1, Maria Luisa Martino1, Roberto Bianco1,2
1Department of Humanities, University of Naples Federico II, 80138 Naples, Italy.
Cancers
|June 26, 2025
概括
妇女参与癌症查涉及不同的阶段:招聘,保留和持续参与. 了解这些由信任和可访问性等因素驱动的阶段,可以改善参与至关重要的查计划.
科学领域:
- 公共卫生 公共卫生
- 健康心理学 心理健康心理学
- 卫生社会学 卫生社会学
背景情况:
- 乳腺癌和子宫癌查对于早期检测至关重要,但面临着低于最佳的参与.
- 以患者为中心的护理强调了作为一个动态,情感过程的参与.
- 参与医疗保健决策的概念分为三个阶段:招聘,保留和维持.
研究的目的:
- 探索妇女在癌症查参与的三个阶段的经验和谈判挑战.
- 在"招聘"",留住"和"维持"阶段使用代定位参与 (ISE) 镜头来区分创造意义的挑战.
主要方法:
- 基于理论的定性设计,使用半结构面试.
- 采访了参与公共乳腺癌和宫癌查计划的25-69岁的40名女性.
- 使用框架方法进行了主题分析.
主要成果:
- "招募"阶段的参与驱动因素:癌症风险监测,自我照顾动机,死亡恐惧管理,巧合.
- "保留"阶段的驱动因素:对医疗保健提供者的信任,服务的可访问性,反复的邀请,非正式的结果预测.
- "维持"阶段的驱动因素:医疗保健提供者的连续性,最佳实践的传播,服务灵活性,更短的等待时间.
结论:
- 妇女参与癌症查是一个动态的,多阶段的过程,受心理,情感和组织因素的影响.
- 调查结果支持反复的定位参与 (ISE) 概念建议,将参与视为一个反复的,定位的,创造意义的轨迹.
- 个性化健康沟通和改善初级保健协调可以增强持续的查参与,减少健康差异,并促进预防实践.
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