促进因素、障碍和可能的解决方案以提高脑血管疾病患者的咨询质量:一项描述性质的研究。

IF 1.9 4区 医学 Q2 NURSING
Kirsi Myllykangas, Henna Härkönen, Maria Kääriäinen, Mikko Kärppä, Miia Jansson
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引用次数: 0

摘要

脑血管疾病,如短暂性缺血发作和中风,主要是由行为和代谢危险因素引起的。有效的患者咨询可以解决这些风险因素并减少中风的负担。方法:我们旨在描述促进因素、障碍和可能的解决方案,以提高脑血管疾病患者的咨询质量,采用描述性、定性的方法。在2021年8月至2022年3月期间,对芬兰一家大学医院的26名医疗保健专业人员进行了半结构化面对面访谈。采用演绎内容分析法对数据进行分析。结果:卫生保健专业人员确定了支持咨询质量的五个主要类别:(1)背景因素,(2)资源,(3)实施,(4)咨询的充分性和(5)效果,以及七个一般类别。结论:为了提高咨询质量,需要开发新的数字咨询解决方案。解决方案应该是高质量的,考虑到脑血管疾病患者的特殊需求,简化利益相关者之间的信息交换过程,促进医疗保健专业人员的工作流程。应支持患者获得与健康相关的信息、电子设备的可用性、患者的电子健康素养技能和卫生保健专业人员的咨询技能,以减轻中风的负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Facilitators, Barriers, and Possible Solutions to Improve the Quality of Counselling in Patients With Cerebrovascular Diseases: A Descriptive Qualitative Study.

Introduction: Cerebrovascular diseases, such as transient ischaemic attack and stroke, are mainly caused by behavioural and metabolic risk factors. Effective patient counselling can address these risk factors and reduce the burden of stroke.

Methods: We aimed to describe the facilitators, barriers and possible solutions to improve the quality of counselling in patients with cerebrovascular diseases using a descriptive, qualitative approach. Semi-structured face-to-face interviews were conducted with 26 healthcare professionals at a single university hospital in Finland between August 2021 and March 2022. The data were analysed using deductive content analysis.

Results: The healthcare professionals identified facilitators, barriers and possible solutions to support the quality of counselling in five main categories: (1) background factors, (2) resources, (3) implementation, (4) sufficiency and (5) effects of counselling, and seven generic categories.

Conclusions: To improve the quality of counselling, new digital counselling solutions need to be developed. Solutions should be high-quality, consider the special needs of patients with cerebrovascular diseases, ease the process of information exchange between stakeholders and facilitate the workflow of healthcare professionals. Patients' access to health-related information, availability of electronic devices, patients' eHealth literacy skills and healthcare professionals' counselling skills should be supported to reduce the burden of stroke.

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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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