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影响初级保健机构实施糖尿病预防计划的促进者和障碍:从多利益相关方的角度进行定性元合成
Jiali Chen1, Zheng Lin1, Yang Lei1
1School of Nursing, Nanjing Medical University, Nanjing, China.
International journal of nursing studies
|July 23, 2025
概括
在初级保健中实施糖尿病预防计划需要解决患者和利益相关者的挑战. 关键因素包括明确的沟通,量身定制的干预措施,以及为成功的项目交付和可持续性提供足够的资源.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 行为医学是一种行为医学.
背景情况:
- 初级保健机构在实施糖尿病预防计划方面面临重大障碍.
- 利益相关者的观点对于理解和克服这些实施挑战至关重要.
- 本次元综合研究从不同利益关方的角度探讨了项目实施的促进者和障碍.
研究的目的:
- 识别和综合有关促进者和障碍的证据,在初级保健中实施糖尿病预防计划.
- 从患者和医疗保健利益相关者的角度了解这些因素.
- 为改善计划实施和可持续性的战略提供信息.
主要方法:
- 进行了定性研究的系统的元合成.
- 在六个主要数据库中搜索相关文献.
- 数据使用诱导主题分析进行分析,并通过规范化过程理论进行合成.
主要成果:
- 患者参与促进者包括准确的风险感知,感知到的好处,有效的沟通,定制的内容和支持.
- 患者的障碍包括低估风险,低意识,复杂的设计,资源限制和不良后续.
- 利益相关者促进者包括培训,明确的角色,协作和反;障碍包括沟通问题,未定义的角色和资源限制.
结论:
- 有针对性的教育和风险沟通对于患者的意识和坚持至关重要.
- 个性化干预,监测和反提高了计划的有效性.
- 成功实施需要经过培训的利益相关者,定义的角色,充足的资源,以及未来的关注可持续性和成本效益.
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