改善接受生物治疗的银屑病患者的管理：一种定性方法。
Improving management of psoriasis patients receiving biological treatment: A qualitative approach.
机构信息
Department of Dermatology and Allergy Centre, Odense University Hospital, Odense, Denmark.
Department of Clinical Research, Health Sciences, University of Southern Denmark, Odense, Denmark.
出版信息
Nurs Open. 2021 May;8(3):1283-1291. doi: 10.1002/nop2.745. Epub 2021 Jan 1.
AIM
To investigate psoriasis patients' and healthcare professionals' experiences and perspectives of follow-up consultations.
DESIGN
A qualitative study with a phenomenological-hermeneutic approach.
METHOD
Participant observations of consultations and semi-structured interviews were conducted with patients receiving biological treatment, together with two focus groups with healthcare professionals, from June 2018-January 2019. Data were analysed using a qualitative structured approach based on Paul Ricoeur's philosophy of interpretation.
RESULTS
Consultations had a strong biomedical and corrective approach focusing on lifestyle behaviour change, measurements and permanent routines. Healthcare professionals felt the need for enhanced competencies providing lifestyle behaviour change support and the possibility of providing patients more specific strategies. They were faced with a dilemma between lacking the right skills and having a professional duty. The frequent follow-up visits did not fit in with the patients' everyday lives.
目的
调查银屑病患者和医疗保健专业人员对随访咨询的体验和看法。
设计
采用现象学-解释学方法的定性研究。
方法
2018 年 6 月至 2019 年 1 月，对接受生物治疗的患者进行了咨询的参与者观察和半结构化访谈，并与医疗保健专业人员进行了两次焦点小组讨论。数据采用基于保罗·利科哲学解释的定性结构方法进行分析。
结果
咨询具有强烈的生物医学和矫正方法，侧重于生活方式行为改变、测量和永久常规。医疗保健专业人员感到需要增强提供生活方式行为改变支持的能力，并为患者提供更具体的策略的可能性。他们面临着缺乏正确技能和履行专业职责之间的困境。频繁的随访就诊与患者的日常生活不相符。
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