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为患有高血压前期患者共同设计社区健康素养计划:Ophelia (优化健康素养和获取) 过程的应用
Pataporn Bawornthip1,2,3, Jo McDonall4, Decha Tamdee3
1School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Victoria, Australia.
概括
与农村社区共同设计卫生资源有效地解决了高血压预防问题. 根据文化定制的干预措施可以提高健康素养,并为各种人群提供医疗服务.
科学领域:
- 公共卫生 公共卫生
- 卫生识字 卫生识字
- 社区卫生干预措施 社区卫生干预
背景情况:
- 新兴的非传染性疾病,特别是高血压,对公众健康构成重大挑战.
- 医疗保健提供者很难有效地预防高血压和早期检测高血压.
- 共同设计使利益相关者和消费者参与开发文化上适当的干预措施.
研究的目的:
- 与泰国农村社区的当地利益相关者共同设计基于证据的高血压预防资源.
- 专注于不同识字水平和行为变化障碍.
- 通过共同设计方法开发出适合文化的干预措施.
主要方法:
- 使用了优化健康素养和获取 (Ophelia) 框架 (步骤 3-5).
- 与13名参与者 (消费者,医疗保健提供者,社区领导人) 进行了联合设计研讨会.
- 雇员有目的地采样并使用描述性和内容分析分析数据.
主要成果:
- 使用问题树分析和,棘,芽技术生成行动想法.
- 使用影响-努力矩阵优先进行干预.
- 选择的"快速获胜"发展干预措施:社区教育,血压监测和公共关系活动.
结论:
- 在Ophelia框架的指导下,共同设计创建了量身定制的,文化上适当的健康素养干预措施.
- 这些干预措施提高了农村社区的健康结果和服务获取.
- 解决各种各样的现实需求是成功促进健康的关键.
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