Lopez C, Bertram-Farough A, Heywood D, Dawson L, Dillon M, Chochinov H M, Plourde P
Integrated Tuberculosis Services, Winnipeg Regional Health Authority, Winnipeg, Department of Medical Microbiology, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
Integrated Tuberculosis Services, Winnipeg Regional Health Authority, Winnipeg, Manitoba, Canada.
Int J Tuberc Lung Dis. 2017 Feb 1;21(2):149-153. doi: 10.5588/ijtld.16.0630.
Knowing someone with tuberculosis (TB) as a person, rather than defining them by their illness, is part of recognising their dignity and unique individuality, and a requirement for effective care.
An adaptation of the Patient Dignity Question (PDQ) was formalised for persons receiving treatment for active TB or latent tuberculous infection (LTBI), and its impact was evaluated for both the person and health care providers (HCPs).
Individuals with active TB or LTBI receiving treatment in Winnipeg, MB, Canada, were asked the PDQ as part of routine care. Patients and HCPs were subsequently invited to evaluate the application of the PDQ.
Of the 58 participants who responded to the PDQ, 97% felt both that it was important to ask about them as an individual, and that the PDQ should be asked of all patients, while 55% thought it made a difference to their care. Thirty-eight per cent of HCPs said they learned something new about their patient, and 31% said it influenced their sense of connectedness with and sense of empathy for patients, as well as their personal satisfaction in providing care.
Formalising a dignity question as part of person-centred care provides a mechanism to create a respectful environment that is caring of the most marginalised who carry the burden of TB.
将结核病患者视为人，而非仅以其疾病来定义他们，这是认识到他们的尊严和独特个性的一部分，也是有效护理的一项要求。
为正在接受活动性结核病或潜伏结核感染（LTBI）治疗的患者，制定了患者尊严问题（PDQ）的改编版，并评估了其对患者和医疗服务提供者（HCPs）的影响。
在加拿大马尼托巴省温尼伯市接受治疗的活动性结核病或LTBI患者，在常规护理中被问及PDQ。随后邀请患者和HCPs对PDQ的应用进行评估。
在对PDQ做出回应的58名参与者中，97%的人认为询问他们个人情况很重要，并且认为应该对所有患者询问PDQ，而55%的人认为这对他们的护理有影响。38%的HCPs表示他们了解到了关于患者的一些新情况，31%的人表示这影响了他们与患者的联系感和同理心，以及他们提供护理时的个人满意度。
将尊严问题正式纳入以患者为中心的护理中，提供了一种机制，以营造一个尊重的环境，关怀那些承担结核病负担的最边缘化人群。
