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患者在瑞典健康中心由护士主导的生活方式诊所的体验。

Patients' experience of a nurse-led lifestyle clinic at a Swedish health centre.

作者信息

Nymberg Peter, Drevenhorn Eva

机构信息

Husensjö Health Centre, Helsingborg, Sweden.

Department of Health Sciences, Faculty of Medicine, University of Lund, Lund, Sweden.

出版信息

Scand J Caring Sci. 2016 Jun;30(2):349-55. doi: 10.1111/scs.12254. Epub 2015 Jul 31.

Abstract

BACKGROUND

In Sweden, 56% of the population aged 16-84 have an unhealthy lifestyle. The primary health care (PHC) has been instructed to offer citizens health promotion and disease-preventive actions. Very few studies have been conducted about how individuals experience interventions from the PHC intended to help them to change lifestyle.

AIM

The purpose of the study was to explore patients' experiences of visiting a nurse-led lifestyle clinic.

METHODS

Patients (n = 137), who participated in a screening test at a lifestyle clinic, were invited to focus group interviews. Of these, 14 patients agreed to participate. The data were analysed using content analysis.

RESULTS

The patients felt that the visit to the lifestyle clinic gave insight into their habits and diminished their fear of not being healthy. Primary health care was seen as a safe provider in this matter. Disappointment was occasioned by the unfulfilled expectations of blood tests, lack of follow-up visit and inconsistencies of approach during the visit to the lifestyle clinic. Personal chemistry was perceived to be crucial for how the encounter with the public health nurse evolved.

CONCLUSION

Lifestyle clinics can give patients opportunity to change lifestyle and also to confirm the good habits. It may also be important to have follow-up visits to give the patients' support when changing lifestyle. Nurses counselling patients about lifestyle changes need to have recurrent training in Motivational Interviewing.

摘要

背景

在瑞典,16 - 84岁的人口中有56%的人生活方式不健康。初级卫生保健机构已接到指示,要为公民提供健康促进和疾病预防行动。关于个人如何体验初级卫生保健机构旨在帮助他们改变生活方式的干预措施的研究非常少。

目的

本研究的目的是探讨患者在就诊于由护士主导的生活方式诊所时的体验。

方法

邀请了在一家生活方式诊所参加筛查测试的患者(n = 137)参加焦点小组访谈。其中,14名患者同意参与。使用内容分析法对数据进行分析。

结果

患者认为就诊于生活方式诊所让他们洞察了自己的习惯,并减轻了对不健康的恐惧。在这件事情上,初级卫生保健被视为一个安全的提供者。由于对血液检测的期望未达成、缺乏后续随访以及在就诊于生活方式诊所期间方法不一致,患者感到失望。个人之间的默契被认为对于与公共卫生护士的接触如何发展至关重要。

结论

生活方式诊所可以为患者提供改变生活方式的机会,也可以确认良好的习惯。在患者改变生活方式时进行后续随访以给予支持可能也很重要。为患者提供生活方式改变咨询的护士需要接受动机性访谈的反复培训。

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