发展初级保健中COPD患者的跨专业合作:一种参与式行动研究方法
F L de Zwart1,2, L van den Bemt3, B van den Borst4
1Department of Pulmonary Diseases, Radboudumc, Nijmegen, The Netherlands. lieven.dezwart@radboudumc.nl.
NPJ primary care respiratory medicine
|October 14, 2025
概括
这项研究开发了一个可操作的跨专业合作 (IPC) 模型,用于管理慢性阻塞性肺病 (COPD) 患者的初级保健. 该模型使用共同创作会议创建,集成非药物治疗,以改善患者的生活质量.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 医疗保健管理的管理
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响健康状况,需要超越药理治疗的管理.
- 解决肺外特征,如身体脱,肌肉质量损失,吸烟和抑郁症,对于改善COPD患者的生活质量至关重要.
- 在初级保健中有效管理这些非药理学方面,需要在多个医疗保健提供者 (HCP) 之间进行高质量的跨专业合作 (IPC).
研究的目的:
- 为慢性阻塞性肺病 (COPD) 患者在初级保健环境中开发一个可操作的跨专业合作 (IPC) 模型.
- 通过整合非药物治疗特征管理,增强对COPD患者提供的补充护理.
- 创建一个适合在现有的当地环境和结构中实施的模型.
主要方法:
- 采用了参与式行动研究 (PAR) 方法,特别是使用共同创作会议 (CCS).
- 与两组独立的有目的抽样利益相关者进行了六次并行CCS,其中包括来自初级,二级和三级护理的患者和医疗保健人员.
- 采用了协作式的自下而上的战略,以确保开发的模型反映了当前的工作方法和当地环境.
主要成果:
- 开发了一个共同的,可操作的IPC模型,用于初级保健COPD患者管理,准备进行试点测试.
- 该模型基于当前和当地的工作方法,促进现有医疗保健结构中的实施.
- 在利益相关者群体之间确定了IPC启动时间/路由以及通信平台偏好方面的小差异.
结论:
- 参与式行动研究 (PAR) 方法和共同创作有效地产生了可操作的IPC模型,用于初级保健COPD管理.
- 开发的模型解决了对COPD患者非药物特征的综合护理的需求.
- 该模型适应当地环境和结构的适应性支持其成功实施和试点测试的潜力.
更多相关视频
09:42Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
Published on: November 8, 2013
13.9K
04:24Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease
Published on: September 5, 2025
789
相关概念视频
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
5.0K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
5.0K
01:29Chronic Obstructive Pulmonary Disease-V: Management
3.1K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
3.1K
01:26COPD: Management Using Bronchodilators and Corticosteroids
726
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
726
01:27Peripheral Artery Disease III: Interprofessional Care
242
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
242
01:22Chronic Obstructive Pulmonary Disease
2.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
2.2K
01:20Chronic Obstructive Pulmonary Disease-I: Introduction
3.6K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
3.6K