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为什么患者在用药方面会有困难?——一项关于患者在日常生活中如何体验药物的现象学诠释学研究。

Why do patients struggle with their medicines?-A phenomenological hermeneutical study of how patients experience medicines in their everyday lives.

机构信息

Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

出版信息

PLoS One. 2021 Aug 6;16(8):e0255478. doi: 10.1371/journal.pone.0255478. eCollection 2021.

Abstract

Why do so many people struggle with their medicines despite decades of research on medicines taking? Research into how people experience medicines in their everyday life remains scarce with the majority of research in this area of focusing on whether or not people take their medicines as prescribed. Hence, this study used a phenomenological hermeneutical qualitative design to gain a deeper understanding of individuals' perspectives on the lived experience of medicine-taking. Findings from this study highlight five main themes where participants experience medicines as: 1) life-saving and indispensable, 2) normal and a daily routine, 3) confusing and concerning, 4) unsuitable without adjustment, and 5) intrusive and unwelcome. These results can be the basis for mutually agreed prescribing through a co-creative approach that aims at enhancing open and honest dialogues between patients and healthcare professionals in partnership about medicines.

摘要

尽管已经进行了数十年的药物服用研究,但为什么仍有许多人在用药方面存在困难?对于人们在日常生活中如何体验药物的研究仍然很少,该领域的大多数研究都集中在人们是否按照规定服用药物。因此,本研究采用现象学解释学定性设计,深入了解个人对药物服用体验的看法。本研究的结果突出了五个主要主题,参与者在这些主题中体验药物:1)救命和不可或缺,2)正常和日常惯例,3)令人困惑和担忧,4)未经调整不合适,5)侵入性和不受欢迎。这些结果可以作为通过共同创造方法达成共识的处方的基础,这种方法旨在增强患者和医疗保健专业人员之间关于药物的开放和诚实对话,建立合作伙伴关系。

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本文引用的文献

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Medication adherence interventions and outcomes: an overview of systematic reviews.药物依从性干预措施与结果:系统评价综述
Eur J Hosp Pharm. 2019 Jul;26(4):187-192. doi: 10.1136/ejhpharm-2018-001725. Epub 2018 Nov 16.

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