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医患就老年人睡眠呼吸暂停诊断与治疗的沟通

Patient-Provider Communication With Older Adults About Sleep Apnea Diagnosis and Treatment.

作者信息

Fung Constance H, Alessi Cathy, Truong Cindy, Josephson Karen, Hays Ron D, Col Nananda, Patterson Emily S, Martin Jennifer L

机构信息

a VA Greater Los Angeles Healthcare System , North Hills , California.

b Division of Geriatrics , David Geffen School of Medicine, University of California at Los Angeles , North Hills , California.

出版信息

Behav Sleep Med. 2017 Nov-Dec;15(6):423-437. doi: 10.1080/15402002.2016.1150278. Epub 2016 May 4.

Abstract

Patient-provider communication impacts adherence to therapy. We explored older adults' communication with their providers, preferences for communication, and views on communication attributes and decision aid characteristics, by conducting four focus groups. Several participants reported they had received insufficient information about their sleep apnea diagnosis and treatment options. Most participants felt that it would be helpful to have treatment information tailored to their needs, including information on the negative impact of treatment on comfort and convenience and disclosure about common barriers to adherence. Participants provided desired characteristics for a decision aid, including their preferred delivery method, content, and format. These findings have implications for how to design useful decision aids for older adults with newly diagnosed sleep apnea.

摘要

患者与医疗服务提供者之间的沟通会影响治疗依从性。我们通过开展四个焦点小组,探讨了老年人与他们的医疗服务提供者之间的沟通情况、沟通偏好,以及对沟通属性和决策辅助工具特征的看法。几位参与者报告称,他们在睡眠呼吸暂停的诊断和治疗选择方面获得的信息不足。大多数参与者认为,获得根据其需求量身定制的治疗信息会有所帮助,包括有关治疗对舒适度和便利性的负面影响的信息,以及关于依从性常见障碍的披露。参与者提供了决策辅助工具的理想特征,包括他们偏好的交付方式、内容和形式。这些发现对于如何为新诊断为睡眠呼吸暂停的老年人设计有用的决策辅助工具有所启示。

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