Q 热患者护理的先决条件、障碍和机遇：医护人员德尔菲研究。

Prerequisites, barriers and opportunities in care for Q-fever patients: a Delphi study among healthcare workers.

机构信息

Department of Public Health, Erasmus University Medical Center, P.O. Box 2040, 3000CA, Rotterdam, the Netherlands.

Q-Support, 's Hertogenbosch, the Netherlands.

出版信息

BMC Health Serv Res. 2023 Mar 31;23(1):319. doi: 10.1186/s12913-023-09269-y.

DOI:10.1186/s12913-023-09269-y

PMID:37004033

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10064509/

Abstract

BACKGROUND

Q-fever is a zoonotic disease that can lead to illness, disability and death. This study aimed to provide insight into the perspectives of healthcare workers (HCWs) on prerequisites, barriers and opportunities in care for Q-fever patients.

METHODS

A two-round online Delphi study was conducted among 94 Dutch HCWs involved in care for Q-fever patients. The questionnaires contained questions on prerequisites for high quality, barriers and facilitators in care, knowledge of Q-fever, and optimization of care. For multiple choice, ranking and Likert scale questions, frequencies were reported, while for rating and numerical questions, the median and interquartile range (IQR) were reported.

RESULTS

The panel rated the care for Q-fever patients at a median score of 6/10 (IQR = 2). Sufficient knowledge of Q-fever among HCWs (36%), financial compensation of care (30%) and recognition of the disease by HCWs (26%) were considered the most important prerequisites for high quality care. A lack of knowledge was identified as the most important barrier (76%) and continuing medical education as the primary method for improving HCWs' knowledge (76%). HCWs rated their own knowledge at a median score of 8/10 (IQR = 1) and the general knowledge of other HCWs at a 5/10 (IQR = 2). According to HCWs, a median of eight healthcare providers (IQR = 4) should be involved in the care for Q-fever fatigue syndrome (QFS) and a median of seven (IQR = 5) in chronic Q-fever care.

CONCLUSIONS

Ten years after the Dutch Q-fever epidemic, HCWs indicate that the long-term care for Q-fever patients leaves much room for improvement. Facilitation of reported prerequisites for high quality care, improved knowledge among HCWs, clearly defined roles and responsibilities, and guidance on how to support patients could possibly improve quality of care. These prerequisites may also improve care for patients with persisting symptoms due to other infectious diseases, such as COVID-19.

摘要

背景

Q 热是一种人畜共患疾病，可导致患病、残疾和死亡。本研究旨在深入了解医疗保健工作者（HCWs）对 Q 热患者护理的先决条件、障碍和机遇的看法。

方法

对 94 名参与 Q 热患者护理的荷兰 HCWs 进行了两轮在线德尔菲研究。调查问卷包含有关高质量护理的先决条件、护理中的障碍和促进因素、Q 热知识以及护理优化的问题。对于多项选择、排名和李克特量表问题，报告了频率；对于评分和数值问题，报告了中位数和四分位距（IQR）。

结果

小组对 Q 热患者的护理评分中位数为 6/10（IQR=2）。HCWs 对 Q 热有足够的了解（36%）、护理的经济补偿（30%）和 HCWs 对该疾病的认识（26%）被认为是高质量护理的最重要先决条件。缺乏知识被确定为最重要的障碍（76%），而继续医学教育被认为是提高 HCWs 知识的主要方法（76%）。HCWs 对自己的知识评分中位数为 8/10（IQR=1），对其他 HCWs 的一般知识评分为 5/10（IQR=2）。根据 HCWs 的说法，应为 Q 热疲劳综合征（QFS）的护理配备中位数为 8 名（IQR=4）医疗保健提供者，应为慢性 Q 热护理配备中位数为 7 名（IQR=5）。