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主动倾听在护理过渡期间解决药物治疗不依从问题的力量:一位患有2型糖尿病的多重用药患者的病例报告

The Power of Active Listening to Address Medication Non-Adherence During Care Transition: A Case Report of a Polypharmacy Patient with Type 2 Diabetes.

作者信息

Solh Dost Léa, Gastaldi Giacomo, Schneider Marie P

机构信息

School of Pharmaceutical Sciences, University of Geneva, 1205 Geneva, Switzerland.

Institute of Pharmaceutical Sciences of Western Switzerland, University of Geneva, 1205 Geneva, Switzerland.

出版信息

Pharmacy (Basel). 2025 Apr 30;13(3):64. doi: 10.3390/pharmacy13030064.

Abstract

This case report explores the experience of a newly diagnosed type 2 diabetes (T2DM) patient transitioning from passive non-adherence to active adherence over a two-month period following hospital discharge. During this two-month period, he participated in four exploratory, non-interventional research interviews investigating his medication adherence, beliefs, and self-management strategies. His feedback on these research interviews highlighted the role of key communication strategies-such as patient partnership, non-judgmental communication, and interprofessional active listening-in fostering self-reflection and behavioural change. While these techniques are well-documented, there remains an urgent need to translate them into routine practice by integrating behavioural science and interprofessional collaboration into healthcare pregraduate and postgraduate education in order to increase awareness and skills in clinical environments.

摘要

本病例报告探讨了一名新诊断为2型糖尿病(T2DM)的患者在出院后两个月内从被动不依从转变为主动依从的经历。在这两个月期间,他参加了四次探索性、非干预性研究访谈,调查他的药物依从性、信念和自我管理策略。他对这些研究访谈的反馈突出了关键沟通策略的作用,如患者伙伴关系、无评判性沟通和跨专业积极倾听,这些策略有助于促进自我反思和行为改变。虽然这些技术有充分的文献记载,但仍迫切需要通过将行为科学和跨专业合作纳入医疗保健本科和研究生教育,将其转化为常规实践,以提高临床环境中的认识和技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7470/12101230/030e1d59f083/pharmacy-13-00064-g001.jpg

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