在导航-脏研究中的脏衰竭护理干预中参与者的经验
Katherine Rizzolo1,2, Julie Ressalam3, Kayla Robledo3
1Boston University Chobanian & Avedisian School of Medicine and Boston Medical Center, Section of Nephrology, Boston, Massachusetts.
JAMA network open
|November 7, 2025
概括
在Navigate-Kidney试验中,社区卫生工作者 (CHW) 改善了透析中拉丁裔患者的自我管理. 参与者报告说,增强了信任,应对社会挑战,以及文化定制的教育,导致了更好的健康结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 在透析中患有功能衰竭的拉丁裔个人面临着影响自我管理的重大社会挑战.
- 导航-试验利用社区卫生工作者 (CHW) 支持这一群体.
- 之前的研究结果表明,干预接受者间隔透析时体重增加有所减少.
研究的目的:
- 探索参与者在导航-干预中的经验.
- 了解透析中拉丁裔患者对CHW干预的看法.
主要方法:
- 一项定性研究采用半结构面试,对24名拉丁裔参与者进行导航-脏试验.
- 采访是在2020年11月至2022年8月期间在科罗拉多州丹佛进行的.
- 数据分析涉及对未被识别的转录的演性主题分析.
主要成果:
- 关键主题包括通过个性化联系和可靠性建立信任.
- 参与者强调了CHW在导航健康的社会决定因素 (保险,粮食安全,行政任务) 中的支持.
- 文化和语言定制的教育和增强的自我管理能力也是主要的主题.
结论:
- 参与者的经验强调了CHW在培养透析患者信任和克服障碍方面的价值.
- 这项干预有效地提供了以患者为中心的教育,并赋予了个人管理病的能力.
- 了解这些观点对于改进和扩大类似干预措施以改善患者结果至关重要.
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