为了支持糖尿病足治疗的患者导航计划:定性主题分析和试点研究
Rebekah N Williams1, Jesica M Flores2, Kristin Harrington3
1Hillman Associates, LLC, Pittsburgh, PA.
medRxiv : the preprint server for health sciences
|December 8, 2025
概括
患者导航员可以通过解决沟通缺口和建立信任来改善糖尿病足 (DFU) 护理. 这项研究发现,导航员电话显著增加了临床出诊率,突出了它们在DFU管理中的价值.
科学领域:
- 医疗保健提供 医疗保健提供
- 患者倡导 患者倡导
- 慢性伤口管理 慢性伤口管理
背景情况:
- 糖尿病足 (DFU) 带来复杂的护理挑战,通常涉及到分散的沟通和患者不信任.
- 现有的DFU护理途径可能导致系统疲劳和患者信任的侵蚀.
- 患者的感知和护理经验对于设计有效的干预措施至关重要.
研究的目的:
- 为了为糖尿病足 (DFU) 护理的患者导航随机对照试验的设计提供信息.
- 探索患者对拟议的患者导航干预的看法和偏好.
- 评估患者导航员电话对诊所出诊的影响,并评估一个试点导航员计划.
主要方法:
- 使用焦点小组对13名DFU患者进行定性研究.
- 使用实施研究综合框架 (CFIR) 对成绩单的演性主题分析.
- 对DFU患者 (n=1285) 和一个试点导航员计划 (n=12) 的回顾性图表审查.
主要成果:
- 主题分析确定了"沟通缺口和不一致"和"系统疲劳和信任侵蚀"作为关键的患者体验领域.
- 患者希望导航员为倡导,协调,教育和情感支持提供帮助.
- 导航电话与30天DFU诊所出勤率显著增加有关 (90%与50%相比,p<.01);试点计划显示出100%的出勤率.
结论:
- 患者导航计划可以解决DFU护理中的碎片化和不信任.
- 建立信任,透明度和护理协调对于成功导航和改善临床结果至关重要.
- 患者导航显示了在DFU管理中显著改善门诊出院率的潜力.
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