患者对初级保健中孤独干预措施的看法:一种定性研究
Kevin G Saulnier1, Adrienne Lapidos2, Jennifer Jagusch1
1Department of Veterans Affairs, Center for Clinical Management Research, Health Systems Research.
Psychological services
|December 1, 2025
概括
主要护理患者由于各种因素而感到孤独. 虽然许多人使用应对策略,但关于在初级保健机构中嵌入孤独干预措施的意见各不相同,这表明需要心理教育和建立联盟.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 美国存在着孤独的流行病.
- 初级保健机构可能为孤独干预提供可访问的途径.
- 了解患者的体验对于有效的干预设计至关重要.
研究的目的:
- 描述初级保健患者对孤独的经历.
- 确定患者用来抵消孤独感的策略.
- 探索患者对初级保健中孤独干预措施的看法.
主要方法:
- 17名报告社会孤立的成年人使用半结构面试进行了采访.
- 采访被转录并使用快速定性分析进行分析.
- 从参与者对孤独原因,策略和干预观点的描述中确定了主题.
主要成果:
- 参与者确定了孤独的内在,关系和情境原因.
- 大多数参与者都知道并成功地使用了减少孤独的策略.
- 对基于初级保健的孤独干预措施的观点是分歧的;有些是积极的,而另一些则表达了怀疑.
结论:
- 在初级保健中实施孤独干预措施之前,可能需要对患者进行心理教育和建立联盟.
- 解决孤独的多面性质可能需要全面的干预.
- 改善应对机制和加强社会参与是患者对孤独感的关键改善.
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