患者对营养咨询中以患者为中心的护理的看法和体验。
Patients' perceptions and experiences of patient-centred care in dietetic consultations.
机构信息
Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.
School of Allied Health Sciences, Griffith University, Gold Coast, QLD, Australia.
出版信息
J Hum Nutr Diet. 2018 Apr;31(2):188-196. doi: 10.1111/jhn.12507. Epub 2017 Sep 11.
BACKGROUND
Patient-centred care (PCC) is essential to quality healthcare. However, there is a paucity of research on PCC in dietetics, particularly regarding patients' experiences and perspectives of PCC. We aimed to enhance our understanding of PCC in dietetics by exploring patients' perceptions and experiences of PCC in individual dietetic consultations.
METHODS
The present study used qualitative methods, situated in a constructivist-interpretivist paradigm. Maximum variation purposive sampling was used to recruit English speaking adult participants who had participated in ≥1 dietetic consultations for nutrition care. Individual semi-structured interviews explored participants' perceptions and experiences of PCC in dietetic consultations. Data were analysed thematically.
RESULTS
Eleven patients were interviewed between September and November 2016. Four overarching themes emerged: (i) fostering and maintaining caring relationships; (ii) delivering individualised care; (iii) enabling patient involvement; and (iv) taking control of one's own health.
CONCLUSIONS
PCC is important to patients. Thus, there is opportunity for dietitians to enhance the care they provide by adopting patient-centred practices. As the first study of its kind, these findings can inform future dietetic practice, education and research by contributing patients' perspectives of PCC. By understanding patients' unique needs and preferences, dietitians can better align their practice with a patient-centred approach. Furthermore, these findings are useful for informing future dietetic research and education.
背景
以患者为中心的护理（PCC）是医疗保健质量的关键。然而，关于营养学中的 PCC 的研究很少，特别是关于患者对 PCC 的体验和看法。我们旨在通过探索患者在个别营养咨询中的 PCC 体验和看法，来增强我们对营养学中 PCC 的理解。
方法
本研究采用定性方法，位于建构主义-解释主义范式中。采用最大变异目的抽样招募了≥1 次营养咨询的英语成年参与者。个体半结构化访谈探讨了患者在营养咨询中的 PCC 体验和看法。数据采用主题分析。
结果
2016 年 9 月至 11 月期间对 11 名患者进行了访谈。出现了四个总体主题：（i）培养和维持关怀关系；（ii）提供个性化护理；（iii）促进患者参与；以及（iv）掌控自己的健康。
结论
患者认为 PCC 很重要。因此，营养师有机会通过采用以患者为中心的实践来增强他们提供的护理。作为同类中的第一项研究，这些发现可以通过为 PCC 提供患者观点，为未来的营养实践、教育和研究提供信息。通过了解患者的独特需求和偏好，营养师可以更好地将其实践与以患者为中心的方法相匹配。此外，这些发现对未来的营养研究和教育也很有用。
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