环境友好的吸入器决策与个人护理在喘和慢性阻塞性肺病:一个定性研究
Claire D Visser1, Alan Sulaiman1, Narrin Bakr1
1Department of Clinical Pharmacy and Toxicology, Leiden University Medical Center, Leiden, the Netherlands.
Exploratory research in clinical and social pharmacy
|September 25, 2025
概括
医疗保健专业人员和患者愿意采用环保吸入器,如干粉吸入器 (DPI),如果临床上合适. 共享决策和教育是减少吸入器使用碳足迹的关键.
科学领域:
- 医疗保健中的环境可持续性
- 呼吸系统药物 呼吸系统药物
- 医学中的行为科学.
背景情况:
- 医疗保健的碳足迹越来越令人担忧,促使人们转向可持续实践.
- 从压力计量剂量吸入器 (pMDIs) 过渡到无推进剂的吸入器是减少排放的关键策略.
- 将环境考虑纳入临床决策对于可持续的医疗保健至关重要.
研究的目的:
- 探索医疗保健专业人员 (HCP) 和患者如何将环境影响纳入喘和COPD的吸入器选择中.
- 识别环境意识的吸入器决策的促进者和障碍者.
- 了解患者和医疗保健工作人员愿意采用更绿色的吸入器替代品.
主要方法:
- 一项探索性定性研究,涉及七个重点小组和一个半结构面试.
- 22名参与者包括全科医生,社区药剂师,肺病学家,助理和患者.
- 演和归纳分析以确定挑战,促进者和可行的策略.
主要成果:
- 参与者表达了道德责任和愿意在临床上适当时使用环保的吸入器,如干粉吸入器 (DPI).
- 医疗人员和患者之间的共同决策对于采用更绿色的吸入器选择至关重要.
- 需要合作和利益相关者参与,以建立可持续吸入器实践的能力.
结论:
- 调查结果为改善医疗保健质量,同时减少医疗保健碳足迹提供了路线图.
- 需要采用多因素,跨学科的方法,医疗保健专家是患者教育和共同决策的核心.
- 策略包括加强沟通,优化处方,促进知情选择,提高护理质量和确保适当的处置.
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