错误的观点和经验:对年龄较大的患者和他们的临床医生进行的定性研究
Andrea Nedergaard Jensen1,2,3, Nina Schjerning4, Marianne Rix4
1Department of Ophthalmology, Zealand University Hospital, Roskilde Vestermarksvej 23, Roskilde, 4000, Denmark. anneje@regionsjaelland.dk.
BMC nephrology
|November 19, 2025
概括
在以人为中心的护理中,启动慢性血液透析 (SDI) 可能具有挑战性. 标准的临床接触往往无法满足接受低最佳透析启动 (SDI) 的老年人的动态需求.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 患者为中心的护理
- 定性研究是一种定性研究.
背景情况:
- 在科中,以人为中心的护理至关重要.
- 慢性血液透析 (SDI) 的急性或意外启动挑战了以人为中心的护理.
- 在低最佳透析启动 (SDI) 途径中对以人为中心的实践的理解有限.
研究的目的:
- 探索患者和临床医师在低最佳透析启动 (SDI) 期间临床遭遇的观点.
- 专注于接受SDI的老年人 (≥65岁) .
主要方法:
- 民族学方法. 民族学方法.
- 参与者观察临床接触 (8个工作日).
- 与14名SDI患者 (≥65岁) 的叙述采访.
- 焦点小组包括7名护士和5名科医生.
- 场景:丹麦首都地区三级医院脏病专科.
主要成果:
- 确定了影响对话议程和护理途径序列的"预定义"遭遇.
- SDI的不可预测性质挑战了标准的遭遇格式.
- 临床接触变得与个体患者的需求和偏好不一致,阻碍了以人为中心的护理.
结论:
- 在SDI接触期间,临床医生面临着解决患者各种需求的时间限制.
- 现有的"预定义"日程表和测序支持临床终点,但不支持个体患者的需求.
- 对于响应性,以人为中心的护理,需要在接触和科护理途径中提高灵活性.
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