针对多种疾病的老年患者的药物共享决策:现象学研究
Yu-Dan Liu1, Hua Zhao1, Cai-Yun Zhang2
1College of Nursing, Shanxi University of Chinese Medicine, Jinzhong, 030619, People's Republic of China.
Patient preference and adherence
|July 30, 2025
概括
患有多种健康状况的老年患者在药物决策方面面临障碍. 改善医疗保健专业人员的共同决策技能对于更好的患者参与和结果至关重要.
科学领域:
- 老年医学 老年医学
- 以患者为中心的护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年患者经常患有多种慢性疾病 (多种疾病),使药物管理和决策复杂化.
- 在这种人群中,有效参与药物决策对于坚持和健康结果至关重要.
- 了解患者,护理人员和医疗保健专业人员的观点对于改善共享决策至关重要.
研究的目的:
- 探索有多种疾病的老年患者参与药物决策的意愿,需求和影响因素.
- 识别老年多药学中共享决策的障碍和促进者.
- 为提高患者参与治疗计划的策略提供信息.
主要方法:
- 现象学研究采用半结构面试.
- 针对多种疾病的老年患者,他们的护理人员和医疗保健专业人员进行有目的的抽样.
- 科拉伊兹 (Colaizzi) 通过采访数据进行了七步分析,以精细化主题.
主要成果:
- 确定了患者参与的意愿和现实之间的差异.
- 强调在多发性疾病管理方面缺乏指导方针和支持系统.
- 揭示了影响因素,包括权力结构,信息交换和医疗保健工作者对共享决策的认识.
结论:
- 患有多种疾病的老年患者在药物决策中遇到重大障碍.
- 医疗保健专业人员需要在共享决策中提高意识和技能.
- 有针对性的支持和改进的信息交换是必要的,以促进共享决策在这个人口.
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