从解雇到合伙:患者经历的反复性尿道感染医疗保健由理论领域框架和行为变化理论告知
Abigail F Newlands1, Melissa L Kramer1,2, Sarah Snuggs1
1School of Psychology and Clinical Language Sciences, University of Reading, Reading, Berkshire, UK.
概括
复发性尿路感染 (rUTI) 的医疗保健往往是分散的和轻视的. 改善护理需要解决系统和关系因素,验证患者的经验,并加强共享决策,以提高生活质量.
科学领域:
- 行为科学 行为科学
- 医疗保健服务研究 医疗服务研究
- 定性研究是一种定性研究.
背景情况:
- 经常性尿路感染 (rUTI) 显著影响生活质量.
- 目前的RUTI医疗保健往往是分散的,轻视的,与患者需求不一致.
- 行为科学提供了一种新的方法来确定改善RUTI护理的干预目标.
研究的目的:
- 探索英国患者对rUTI医疗保健的体验.
- 识别质量护理的障碍和促进者.
- 为了产生干预和服务改进的理论告知目标.
主要方法:
- 在英国,对26名患有RUTI的成年人进行了定性访谈研究.
- 对面试数据进行反思性主题分析.
- 主题的演映射到理论领域框架 (TDF),行为变化技术分类学 (BCTT) 和行为变化干预本体学 (BCIO).
主要成果:
- 关键的障碍包括系统性挑战,被忽视的感觉,自责和自我辩护的负担.
- 质量护理的促进者包括感觉得到验证,合作伙伴关系,护理的连续性和获得资源.
- 所有14个TDF领域都是相关的,特别是社会影响,对后果的信念,环境背景和知识.
结论:
- 对于rUTI的医疗保健,结构性和关系性挑战加剧了.
- 积极的患者体验与被信任,参与和支持的感觉有关.
- 改善RUTI护理需要解决系统层面的因素 (例如诊断,服务连续性) 和关系因素 (例如验证,共享决策).
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