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黑人父母对与初级保健临床医生讨论心血管疾病风险的看法:一种定性研究
Amrik Singh Khalsa1,2,3, Kierra S Barnett4, Amanda Draeger4
1Division of Primary Care Pediatrics, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA. Amrik.Khalsa@nationwidechildrens.org.
黑人父母希望初级保健医生讨论心血管疾病 (CVD) 风险和生活方式行为. 早期的沟通和强大的患者-提供者关系是行为改变的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 健康差异 在健康上的差异
背景情况:
- 初级保健临床医生 (PCC) 将心血管疾病 (CVD) 风险传达给父母,包括黑人.
- 关于父母心血管疾病风险的讨论至关重要,因为它可能会影响儿童的生活方式和行为.
- 有限的研究存在于黑人家长的偏好讨论个人心血管疾病风险与他们的PCCs.
研究的目的:
- 了解黑人家长对PCCs在传播心血管疾病风险中的作用的看法.
- 检查黑人家长对心血管疾病风险和生活方式行为应如何通过PCC传达的偏好.
主要方法:
- 定性焦点小组 (n=10) 针对在医疗补助计划中注册的学校年龄 (6-11岁) 儿童的黑人父母进行了调查.
- 参与者来自俄俄州中部的初级保健诊所和社区组织.
- 专题分析被用来确定沟通偏好,由健康信念模型提供信息.
主要成果:
- 44名家长 (40名女性,平均年龄32岁) 参与了调查.
- 关键主题:PCC可以通过突出风险因素来触发行为变化.
- 通过协作规划,PCCs促进生活方式的改变;为了预防疾病发病,希望尽早就心血管疾病风险进行沟通.
结论:
- 在医疗补助计划中注册的黑人父母希望PCC讨论个人心血管疾病风险因素.
- 有效的患者-提供者沟通对于讨论心血管疾病风险和相关因素至关重要.
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