Research Unit of Health Sciences and Technology (HST), University of Oulu, Oulu, Finland.
Medical Research Center Oulu, Oulu University Hospital, University of Oulu, Oulu, Finland.
J Clin Nurs. 2024 Jun;33(6):2259-2273. doi: 10.1111/jocn.17025. Epub 2024 Feb 27.
To describe patients' experiences of the quality of counselling to develop new digital counselling solutions for patients with cerebrovascular disease.
A descriptive, qualitative approach.
Semi-structured in-person interviews were conducted among 22 patients diagnosed with acute cerebrovascular disease and treated as inpatients at a single university hospital in Finland between September 2021 and February 2022. Data were analysed using deductive and inductive content analysis.
The identified facilitators, barriers and possible solutions for the development of new digital counselling solutions were deductively categorized into five main categories: (1) background factors, (2) resources, (3) implementation, (4) sufficiency, and (5) effects and 12 generic categories. Patients with cerebrovascular diseases worry about symptoms affecting their ability to receive information and valued a supportive atmosphere. Staff should have more time for counselling and use motivational digital counselling solutions in plain language, moderate length and with multimedia content. Patients desired reminders, easy search functions and possibilities for two-way communication.
New digital counselling solutions could be beneficial in supporting the patients' knowledge, emotions and adherence. For the success of such solutions, patients' special needs concerning different levels of cognitive impairment need to be considered.
The results of this study may benefit healthcare organizations in the development of digital counselling solutions that meet the patients' needs.
We have adhered to relevant EQUATOR guidelines with the COREQ reporting method.
Patients were involved as the study population.
描述患者对咨询质量的体验，以开发针对脑血管病患者的新数字咨询解决方案。
描述性、定性方法。
2021 年 9 月至 2022 年 2 月期间，在芬兰的一家单一大学医院对 22 名急性脑血管病诊断为患者进行了半结构化的面对面访谈。使用演绎和归纳内容分析对数据进行分析。
确定的促进因素、障碍因素和新数字咨询解决方案开发的可能解决方案可演绎分类为五个主要类别：（1）背景因素，（2）资源，（3）实施，（4）充足性，（5）效果和 12 个通用类别。脑血管病患者担心症状会影响他们接收信息的能力，并重视支持性氛围。工作人员应该有更多的时间进行咨询，并使用简单易懂、篇幅适中且包含多媒体内容的激励性数字咨询解决方案。患者希望有提醒功能、易于搜索功能以及双向交流的可能性。
新的数字咨询解决方案可能有助于支持患者的知识、情绪和依从性。为了使此类解决方案取得成功，需要考虑患者在不同认知障碍程度方面的特殊需求。
本研究结果可能使医疗保健组织受益，帮助其开发满足患者需求的数字咨询解决方案。
我们采用了与 COREQ 报告方法相关的适当 EQUATOR 指南。
患者作为研究人群参与其中。
