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来自一个中等收入东南亚国家的教学医院中医疗保健专业人员对经皮内镜下胃造口术使用情况的看法。

Perceptions of Healthcare Professionals on the Usage of Percutaneous Endoscopic Gastrostomy in a Teaching Hospital from a Middle-Income South East Asian Country.

作者信息

Jaafar M H, Mahadeva S, Subramanian P, Tan M P

机构信息

Maw Pin Tan, MBBS, Department of Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia, Telephone: +6016-3328600 / +603-79493200, Email :

出版信息

J Nutr Health Aging. 2017;21(4):473-479. doi: 10.1007/s12603-016-0774-2.

Abstract

OBJECTIVE

To explore the perceptions of healthcare professionals' (HCPs) in a South East Asian nation towards percutaneous endoscopic gastrostomy (PEG) feeding.

DESIGN

Semi-structured, qualitative interviews.

SETTINGS

A teaching hospital in Kuala Lumpur, Malaysia.

PARTICIPANTS

A total of 17 healthcare professionals aged 23-43 years, 82% women.

RESULTS

Thematic analysis revealed five themes that represent HCPs' perceptions in relation to the usage of PEG feeding: 1) knowledge of HCPs, 2) communication, 3) understanding among patients, and 4) financial and affordability.

CONCLUSION

The rationale for reluctance towards PEG feeding observed in this regions was explained by lack of education, knowledge, communication, team work, and financial support. Future studies should assess the effects of educational programmes among HCPs and changes in policies to promote affordability on the utilization of PEG feeding in this region.

摘要

目的

探讨东南亚某国医疗保健专业人员(HCPs)对经皮内镜下胃造口术(PEG)喂养的看法。

设计

半结构化定性访谈。

地点

马来西亚吉隆坡的一家教学医院。

参与者

共17名年龄在23 - 43岁之间的医疗保健专业人员,其中82%为女性。

结果

主题分析揭示了代表医疗保健专业人员对PEG喂养使用看法的五个主题:1)医疗保健专业人员的知识,2)沟通,3)患者间的理解,4)财务与可承受性。

结论

该地区观察到的对PEG喂养不情愿的原因可解释为缺乏教育、知识、沟通、团队合作和财务支持。未来研究应评估针对医疗保健专业人员的教育项目的效果以及促进可承受性的政策变化对该地区PEG喂养使用情况的影响。

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