使用社区参与的研究方法,优先考虑患有状细胞疾病的成年人的自我管理需求
概括
患有状细胞疾病 (SCD) 的成年人需要更好的医疗保健和自我管理的支持. 关键需求包括改善从儿科到成人护理的过渡,以及解决提供者偏见以提高健康结果.
科学领域:
- 血液学 血液学 血液学
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 状细胞疾病 (SCD) 是美国流行的一种血液疾病.
- 有效的自我管理对于缓解SCD症状至关重要.
- 关于SCD成年人自我识别的自我管理需求和优先事项的研究有限,特别是使用社区参与的方法.
研究的目的:
- 探索患有状细胞疾病的成年人的自我管理需求.
- 利用社区参与的研究方法来收集洞察力.
- 从患者的角度确定SCD自我管理的关键挑战和优先事项.
主要方法:
- 社区参与的定性研究设计.
- 与患有SCD的成年人和社区利益相关者 (家长,医疗保健提供者) 进行的焦点小组.
- 对定性数据应用的主题分析.
主要成果:
- 出现了三个主要主题:不安全的医疗保健经验,未满足的心理健康需求和心理社会支持需求,以及从儿科到成人护理过渡的挑战.
- 焦点组包括23名患有SCD的成年人 (20-34岁,主要是患有状细胞贫血的黑人女性) 和4名社区利益相关者.
- 确定的障碍包括医疗保健缺口和影响自我管理的提供者偏见.
结论:
- 医疗保健缺口和提供者偏见显著阻碍了成功的SCD自我管理.
- 需要进行干预措施,以支持从儿科到成人护理的过渡.
- 未来的干预措施应侧重于改善医疗保健质量,增强SCD患者的自我管理技能和策略.
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