马来西亚患者对初级保健咨询的看法和期望:一项定性研究
Muhammad Hanif Bin Omar1, Nurul'Ain Binti Hamdan2, Afif Bin Mohd Amirruddin3
1Family Medicine, Klinik Kesihatan Karak, Karak, MYS.
Cureus
|July 24, 2025
概括
初级保健咨询对非传染性疾病 (NCD) 的健康行为产生积极影响. 然而,患者需要更深入地了解非传染性疾病的严重程度,并为持续改变生活方式提供更好的自我有效性支持.
科学领域:
- 公共卫生 公共卫生
- 健康行为研究 研究健康行为研究
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 不传染性疾病 (NCD) 的增加加重了马来西亚的公共卫生服务.
- 改变生活方式对于非传染性疾病管理至关重要.
- 初级保健医生在咨询期间提供基本的生活方式建议.
研究的目的:
- 探索患者对NCD管理的初级保健咨询的看法和期望.
- 了解这些咨询如何影响改变健康的行为.
- 对健康信念模型 (HBM) 领域进行咨询评估.
主要方法:
- 使用半结构面试进行的探索性定性研究.
- 从马来西亚塞兰戈尔的三个政府卫生诊所的患者有目的地采样样本.
- 基于健康信念模型的演和归纳数据分析.
主要成果:
- 咨询对参与者的健康行为产生了积极的影响.
- 患者表现出对NCD严重程度的肤浅理解.
- 低自我效能成为持续行为改变的重要障碍.
- 患者的主要期望包括全面的咨询,同情和专业性.
结论:
- 初级保健咨询可以改善健康行为,但往往缺乏关于NCD严重程度和自我有效性的深度.
- 患者期望全面,同情和专业的互动.
- 一部分患者没有表现出任何特定的期望,可能表明被动或信任.
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