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耳鸣治疗效果及疗法中的患者偏好:一项定性研究

Patient preferences in tinnitus outcomes and treatments: a qualitative study.

作者信息

Pryce Helen, Hall Amanda, Shaw Rachel, Culhane Beth-Anne, Swift Sarah, Straus Jean, Claesen Beth

机构信息

a Audiology Department School of Life and Health Sciences , Aston University, Aston Triangle , Birmingham , UK.

b Psychology Department School of Life and Health Sciences , Aston University, Aston Triangle , Birmingham , UK.

出版信息

Int J Audiol. 2018 Oct;57(10):784-790. doi: 10.1080/14992027.2018.1484184.

Abstract

In order to identify patient preferences in care for tinnitus an in depth grounded theory study was conducted. This consisted of interviews with 41 patients who had sought help for tinnitus across a range of locations and tinnitus services in England. Preferences for outcomes were for both the removal of the tinnitus and for improved coping and management of the tinnitus. Preferences for treatment were for individualized care, tailored information and for treatment to assist with psychological adjustment and auditory distraction. Adoption of treatments to manage tinnitus were based on a trial and error approach. Patients? preferences for individual treatments varied but were informed by the information they received. Information plays an important role in care for people with tinnitus. Patients hold individual preferences and require engagement in shared decision making.

摘要

为了确定患者在耳鸣护理方面的偏好,开展了一项深入的扎根理论研究。该研究包括对41名在英格兰各地不同场所和耳鸣服务机构寻求耳鸣治疗帮助的患者进行访谈。患者对治疗结果的偏好包括消除耳鸣以及改善对耳鸣的应对和管理。对治疗方式的偏好是个性化护理、量身定制的信息,以及有助于心理调适和听觉分散注意力的治疗。采用治疗方法来管理耳鸣是基于反复试验的方式。患者对个别治疗方法的偏好各不相同,但受到他们所获得信息的影响。信息在耳鸣患者的护理中起着重要作用。患者有个人偏好,需要参与共同决策。

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