北极地区需要经皮冠状动脉介入治疗——患者的安全性和护理质量体验:一项定性研究。

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Anette Krane, Gunn Pettersen, Knut Tore Lappegård, Tove Aminda Hanssen
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引用次数: 0

摘要

冠心病患者需要及时治疗以获得生存和最佳预后。对患者进行经皮冠状动脉介入治疗的距离体验的研究有限。目的是探讨患者在挪威北部经皮冠状动脉介入治疗后对医疗服务的安全性和质量有贡献的方面的经验。采用定性探索性设计,15名患者参加了个人半结构化访谈9-16 治疗后数月。反身主题分析揭示了两个主要主题:(1)成为安全系统的一部分;(2)适应新的日常生活。感觉安全和体验优质护理取决于参与者在第一次接触时是否在系统内被听到,是否在需要时提供帮助,治疗的旅行时间,足够的信息,医疗专业人员提供的护理能力,以及在适应日常生活时如何组织后续服务。总之,在北极地区接受经皮冠状动脉介入治疗的患者认为,当该系统在各个层面提供持续护理时,医疗服务是安全的。持续优化治疗的运输时间和距离,特别是对农村患者,并广泛关注后续服务,有助于提高护理的安全性和质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
In need of percutaneous coronary intervention in an arctic setting- patients' experience of safety and quality of care: a qualitative study.

Patients with coronary heart disease need timely treatment for survival and optimum prognosis. There is limited research exploring patients' experience regarding distance to percutaneous coronary intervention. The aim was to explore patients' experiences of aspects contributing to safety and quality of care regarding health services following percutaneous coronary intervention in Northern Norway. A qualitative explorative design was used, and 15 patients participated in individual semi-structured interviews 9-16 months after treatment. The reflexive thematic analysis revealed two main themes: (1) being part of a safe system and (2) adapting to new everyday life. Feeling safe and experiencing quality care depended on whether the participants were heard within the system upon first contact, whether help was available when needed, the travel time for treatment, sufficient information, the competency of care provided by healthcare professionals, and how follow-up services were organised when adapting to everyday life. To conclude, patients undergoing percutaneous coronary intervention in an arctic context perceived healthcare services as safe when the system delivered continuous care throughout all levels. Consistent optimisation of transport time and distance to treatment, especially for rural patients, and extensively focusing on follow-up services, can contribute to improving safety and quality of care.

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来源期刊
International Journal of Circumpolar Health
International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.10
自引率
15.40%
发文量
51
审稿时长
6-12 weeks
期刊介绍: The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.
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