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探索COPD老年患者不同阶段的健康素养需求:深入的定性研究

Chen Chen¹, Yinghua Qian¹, Guangming Wan¹

¹Department of Nursing, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200030, People's Republic of China.

Patient preference and adherence

|November 11, 2025

概括

患有慢性阻塞性肺病 (COPD) 的老年人在整个疾病期间都有不同的健康素养需求. 量身定制的干预措施对于在每一个疾病阶段有效管理COPD至关重要.

科学领域:

老年学是一门学科.
肺部病理学肺部病理学
健康识字研究研究健康识字研究

背景情况:

慢性阻塞性肺病 (COPD) 的发病率和复发率在全球老年人群中正在增加.
健康素养是影响COPD发病和复发的重要因素.
关于老年COPD患者在疾病不同阶段的具体健康素养需求的研究是有限的.

研究的目的:

研究COPD诊断的老年患者不断变化的健康素养要求.
了解这些需求在疾病轨迹的诊断,治疗,出院和家庭康复阶段是如何不同的.

主要方法:

一项采用时间框架和有目的抽样的定性研究.
与上海胸部医院的28名老年COPD患者进行了半结构化的深度访谈 (2023年7月 - 2024年3月).
使用专题分析来解释采访数据.

主要成果:

在疾病各个阶段确定了四种不同的健康素养需求:诊断 (信息获取,心理支持,生活方式变化),治疗 (治疗信息,高效护理),出院准备 (具体指导,生活规划) 和家庭康复 (自我管理,持续支持,平衡纪律).
在诊断阶段,参与者在获取疾病信息,寻求心理支持和采用健康的生活方式方面表现出不同的能力.
对治疗信息,有效护理,具体健康指导,生活规划,自我管理支持和持续医疗保健的需求因疾病阶段而异.

结论:

对于患有COPD的老年人来说,健康素养的需求是动态的,阶段特定的.
个性化的健康素养干预,根据每个疾病阶段的独特要求进行量身定制,对于最佳的患者护理和结果至关重要.

关键词:

慢性慢性肺炎是一种慢性慢性肺炎,COPD是一种慢性肺炎.提高健康素养提高健康素养年龄较大的患者.定性研究是一种定性研究.

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