患者在初级保健中治疗高血压时使用脂乙醇的经验:定性研究
Åsa Thurfjell1,2, Maria Hagströmer2,3,4, Johanna Adami4
1Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden asa.thurfjell@ki.se.
患者发现氨酸乙醇 (PEth) 测试对管理高血压和酒精使用有意义. 开放的沟通和对医疗保健专业人员的信任是激发积极行为改变的关键.
科学领域:
- 心脏病学 心脏病学
- 成 药物 药物 药物 药物
- 主要护理医学 医疗保健
背景情况:
- 在高血压管理中,酒精消费往往被忽视.
- 氨酸乙醇 (PEth) 是初级保健中新兴的酒精生物标志物.
- 患者在高血压护理中使用PEth测试的经验尚不清楚.
研究的目的:
- 探索患者对高血压管理的PETh测试的经验.
- 了解患者的观点,无论酒精消费水平如何.
- 确定影响患者改变行为动机的因素.
主要方法:
- 定性研究涉及13名瑞典初级保健中高血压患者.
- 进行了半结构化的个人访谈.
- 理论分析应用于采访成绩单.
主要成果:
- 一种"双层洞察力"的理论出现了,详细介绍了个人关注,代理和对医疗保健的信任.
- 患者认为医生有权讨论饮酒问题.
- 对于客观性来说,PEth测试是有价值的,但透明度和非判断性对话至关重要.
结论:
- 理智地使用PEth可以防止不良结果并促进积极的变化.
- 患者和医生的行为显著影响酒精使用,与以人为中心的护理保持一致.
- 当与同情沟通相结合时,PEth测试可以成为一个有意义的工具.
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