'I'd like to know what causes it, you know, anything I've done?' Are we meeting the information and support needs of patients with macular degeneration? A qualitative study.

IF 2.3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL BMJ Open Pub Date : 2013-11-07 DOI:10.1136/bmjopen-2013-003306
A E Burton, R L Shaw, J M Gibson
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引用次数: 13

Abstract

Objective: To examine patients' experiences of information and support provision for age-related macular degeneration (AMD) in the UK.

Study design: Exploratory qualitative study investigating patient experiences of healthcare consultations and living with AMD over 18 months.

Setting: Specialist eye clinics at a Birmingham hospital.

Participants: 13 patients diagnosed with AMD.

Main outcome measures: Analysis of patients' narratives to identify key themes and issues relating to information and support needs.

Results: Information was accessed from a variety of sources. There was evidence of clear information deficits prior to diagnosis, following diagnosis and ongoing across the course of the condition. Patients were often ill informed and therefore unable to self-advocate and recognise when support was needed, what support was available and how to access support.

Conclusions: AMD patients have a variety of information needs that are variable across the course of the condition. Further research is needed to determine whether these experiences are typical and identify ways of translating the guidelines into practice. Methods of providing information need to be investigated and improved for this patient group.

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“我想知道是什么引起的,你知道,我做了什么吗?”我们是否满足了黄斑变性患者的信息和支持需求?定性研究。
目的:研究英国年龄相关性黄斑变性(AMD)患者的信息和支持提供情况。研究设计:探索性质的研究调查患者的医疗咨询经验和生活与AMD超过18个月。环境:伯明翰一家医院的眼科专科诊所。参与者:13例AMD患者。主要结果测量:分析患者的叙述,以确定与信息和支持需求相关的关键主题和问题。结果:获得了多种来源的信息。有证据表明,在诊断前、诊断后以及整个病程中都存在明显的信息缺陷。患者往往不了解情况,因此无法自我倡导和认识到什么时候需要支持,什么支持是可用的,以及如何获得支持。结论:AMD患者有各种不同的信息需求,这些需求在整个病情过程中是可变的。需要进一步的研究来确定这些经验是否具有代表性,并确定将指导方针转化为实践的方法。为这一患者群体提供信息的方法需要研究和改进。
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来源期刊
BMJ Open
BMJ Open MEDICINE, GENERAL & INTERNAL-
CiteScore
4.40
自引率
3.40%
发文量
4510
审稿时长
2-3 weeks
期刊介绍: BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
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