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复发性膀胱炎:患者的需求、期望和对信息传单开发的贡献 - 一项定性研究。

Recurrent cystitis: patients' needs, expectations and contribution to developing an information leaflet - a qualitative study.

机构信息

Infectious Diseases Department, Centre Hospitalier Universitaire de Nice, Nice, France.

Public Health Department, Centre Hospitalier Universitaire de Nice, Nice, Provence-Alpes-Côte d'Azur, France.

出版信息

BMJ Open. 2022 Nov 22;12(11):e062852. doi: 10.1136/bmjopen-2022-062852.

DOI:10.1136/bmjopen-2022-062852
PMID:36414289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9684995/
Abstract

OBJECTIVES

Recurring cystitis (RC) is a common complaint among women. It has a significant impact on patients' quality of life. The physical discomfort and psychological distress related to RC are rarely addressed and women's needs in terms of information and advice have not been sufficiently explored, particularly in France in spite of their frequent episodes of RC. This study aimed to assess women's needs and expectations in view of developing a patient information leaflet to help them understand and better cope with their condition, thus offering them more autonomy and empowering them to self-manage whenever possible.

METHOD

Qualitative study using recorded semistructured interviews with patients suffering from RC.

SETTING

Interviews conducted with women suffering from RC in Corsica, France.

PARTICIPANTS

26 patients interviewed between January 2018 and April 2018.

RESULTS

Knowledge of the condition was heterogeneous, but most women reported a major impact on daily life, a high level of anxiety, various management strategies and wished to avoid taking antibiotics, preferring alternative approaches. Patients reported a lack of understanding and sympathy on the part of physicians and society and wished for more autonomy with delayed/back-up prescriptions, a multidisciplinary follow-up and, most of all, appropriate information.

CONCLUSION

The information leaflet should improve patients' knowledge and capacity for self-care, contribute to standardise practice and limit inappropriate antibiotic use.

摘要

目的

复发性膀胱炎(RC)是女性常见的疾病。它对患者的生活质量有重大影响。与 RC 相关的身体不适和心理困扰很少得到解决,女性对信息和建议的需求也没有得到充分探索,尤其是在法国,尽管她们经常发作 RC。本研究旨在评估女性的需求和期望,以便开发一份患者信息传单,帮助她们了解和更好地应对自身病情,从而为她们提供更多的自主权,并在可能的情况下帮助她们自我管理。

方法

采用记录半结构化访谈的定性研究,对患有 RC 的患者进行访谈。

地点

在法国科西嘉岛对患有 RC 的女性进行访谈。

参与者

2018 年 1 月至 2018 年 4 月期间,共访谈了 26 名患者。

结果

患者对病情的了解程度各不相同,但大多数患者报告称对日常生活有重大影响,焦虑程度高,采用了各种管理策略,并希望避免服用抗生素,更倾向于替代方法。患者报告称,医生和社会缺乏理解和同情,希望获得更多自主权,包括延迟/备用处方、多学科随访,最重要的是获得适当的信息。

结论

该信息传单应提高患者的知识水平和自我护理能力,有助于规范实践并限制不合理使用抗生素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8145/9684995/dfba5a25789c/bmjopen-2022-062852f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8145/9684995/dfba5a25789c/bmjopen-2022-062852f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8145/9684995/dfba5a25789c/bmjopen-2022-062852f01.jpg

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本文引用的文献

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Antibiotics (Basel). 2022 Feb 18;11(2):269. doi: 10.3390/antibiotics11020269.
2
Empowering Patients to Self-Manage Common Infections: Qualitative Study Informing the Development of an Evidence-Based Patient Information Leaflet.增强患者自我管理常见感染的能力:为循证患者信息手册的制定提供依据的定性研究
Antibiotics (Basel). 2021 Sep 15;10(9):1113. doi: 10.3390/antibiotics10091113.
3
Management of urinary tract infections: what do doctors recommend and patients do? An observational study in German primary care.
尿路感染的管理:医生推荐什么,患者做什么?德国初级保健中的观察性研究。
BMC Infect Dis. 2020 Nov 9;20(1):813. doi: 10.1186/s12879-020-05377-w.
4
Diagnosis and Management of UTI in Primary Care Settings-A Qualitative Study to Inform a Diagnostic Quick Reference Tool for Women Under 65 Years.基层医疗环境中尿路感染的诊断与管理——一项定性研究,为65岁以下女性提供诊断快速参考工具
Antibiotics (Basel). 2020 Sep 7;9(9):581. doi: 10.3390/antibiotics9090581.
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Optimising management of UTIs in primary care: a qualitative study of patient and GP perspectives to inform the development of an evidence-based, shared decision-making resource.优化初级保健中尿路感染的管理:一项基于患者和全科医生观点的定性研究,为开发基于证据的共同决策资源提供信息。
Br J Gen Pract. 2020 Apr 30;70(694):e330-e338. doi: 10.3399/bjgp20X708173. Print 2020 May.
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Prim Care. 2019 Jun;46(2):191-202. doi: 10.1016/j.pop.2019.01.001.
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Patient Distress in Women with Recurrent Urinary Tract Infections: How Can Physicians Better Meet Patients Needs?复发性尿路感染女性患者的痛苦:医生如何更好地满足患者需求?
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