患者在造口护理会诊前常规使用临床反馈系统的经验:一项定性研究。

IF 3.3 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Quality of Life Research Pub Date : 2025-05-01 Epub Date: 2025-02-15 DOI:10.1007/s11136-025-03916-z
Lill Anette Juvik, John Roger Andersen, Kisten Lerum Indrebø, Anne Marie Sandvoll
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引用次数: 0

摘要

目的:造口手术涉及重大的身体变化,调整过程包括广泛的身体和心理挑战。临床反馈系统(CFS)已开发用于收集患者报告的结果,作为常规门诊随访的一部分,由造口护理护士审查,以更好地满足患者在调整过程中的需求。干预看起来很有希望;然而,支持其益处的经验证据仍然有限。因此,我们探讨了患者在造口护理会诊前常规使用CFS的经验。方法:采用定性设计,对27例使用慢性疲劳综合症作为常规护理一部分的患者进行半结构化的个人访谈。使用Braun和Clarke的主题分析反身法对数据进行分析。结果:本研究的总体主题为:学生自我认知——一种具有潜力和多种作用机制的工具,主要有三个主题:(1)掌握目的可能具有挑战性;(2)预备学习触发反思和自我意识;(3)沟通手段和被理解的潜力。参与CFS具有多方面的个人效用价值,其强度和重要性因人而异。虽然不是每个人都了解使用它的目的,但它是协商和调整过程本身的预备学习过程的一部分。它引发了反思和自我意识,并成为具有后续潜力的沟通手段。结论:虽然CFS看起来很有希望,但未来的研究应该集中在确定最有效的方法来教育患者使用它。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patients' experiences with the routine use of a clinical feedback system prior to consultations in ostomy care: a qualitative study.

Purpose: Ostomy surgery involves significant bodily changes, and the adjustment process encompasses a broad spectrum of physical and psychosocial challenges. A clinical feedback system (CFS) has been developed to collect patient-reported outcomes as part of routine outpatient follow-up, reviewed by stoma care nurses, to better address patients' needs during their adjustment process. The intervention appears promising; however, empirical evidence supporting its benefits remains limited. Thus, we explored patients' experiences with the routine use of the CFS prior to consultations in ostomy care.

Methods: A qualitative design involved 27 semi-structured individual interviews with patients using CFS as part of routine care. The data were analysed using Braun and Clarke's reflexive approach to thematic analysis.

Results: The overarching theme CFS-a tool with potential and multiple mechanisms of action was developed with three themes: (1) Grasping the purpose can be challenging, (2) Preparatory learning-triggering reflection and self-awareness, and (3) Means of communication and potential for being understood. Engaging with the CFS had personal utility value with many dimensions, varying in strength and significance for each patient. Even though not everyone grasped the purpose of its use, it was part of a preparatory learning process for consultations and the adjustment process itself. It triggered reflection and self-awareness and served as a means of communication with potential for follow-up.

Conclusion: Although the CFS appears promising, future research should focus on identifying the most effective methods for educating patients on its use.

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来源期刊
Quality of Life Research
Quality of Life Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
8.60%
发文量
224
审稿时长
3-8 weeks
期刊介绍: Quality of Life Research is an international, multidisciplinary journal devoted to the rapid communication of original research, theoretical articles and methodological reports related to the field of quality of life, in all the health sciences. The journal also offers editorials, literature, book and software reviews, correspondence and abstracts of conferences. Quality of life has become a prominent issue in biometry, philosophy, social science, clinical medicine, health services and outcomes research. The journal''s scope reflects the wide application of quality of life assessment and research in the biological and social sciences. All original work is subject to peer review for originality, scientific quality and relevance to a broad readership. This is an official journal of the International Society of Quality of Life Research.
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