静脉血栓栓塞症(VTE)护理路径

Liselotte M. van Dijk, Linda Van Eikenhorst, M. Triemstra, M. Huisman, Cordula Wagner
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摘要

深静脉血栓(DVT)和肺栓塞(PE)是与高发病率和高死亡率相关的常见疾病。本研究旨在探讨患者和医生在深静脉血栓和肺栓塞护理路径中的经验和需求。确保护理路径符合患者和医生的需求,将对坚持治疗和患者满意度产生积极影响。参与者包括 34 名患者和 18 名医生。定性焦点小组采用面对面的方式,并利用预先确定的主题列表在网上论坛进行讨论。我们通过演绎主题分析法对焦点小组记录进行了分析。患者和医生在信息提供和共同决策方面有着相似的需求和经历。在所提供信息的充分性、残余投诉的跟踪和监测以及个性化护理方面出现了差异。一般来说,患者的不满意度高于医生。我们的研究结果表明,医生和患者对护理质量的感知存在差异,患者表达的需求与医生的假设不同。深静脉血栓和 PE 患者需要心理支持,而医生则关注身体恢复。治疗强度可根据患者的偏好进行调整。这些发现凸显了优化患者护理和确保深静脉血栓形成和 PE 治疗取得更好效果的潜力。
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Care Pathway of Venous Thromboembolism (VTE)
Deep vein thrombosis (DVT) and pulmonary embolism (PE) are prevalent diseases associated with high morbidity and mortality. This study aimed to explore the experiences and needs of patients and physicians within the care pathway of DVT and PE. Ensuring care pathways match patients’ and physicians’ needs, could positively impact therapy adherence and patient satisfaction. Participants were 34 patients and 18 physicians. The qualitative focus groups occurred face-to-face and on an online discussion forum, utilising a predefined topic list. Focus group transcripts were analysed through deductive thematic analysis. Patients and physicians shared similar needs and experiences with information provision and shared decision making. Differences emerged regarding the adequacy of information provided, follow-up and monitoring of residual complaints, and personalised care. Generally, patients expressed higher levels of dissatisfaction compared to physicians. Our findings reveal a disparity between the perceived quality of care by physicians and patients, with patients expressing needs that diverge from physicians' assumptions. Patients need psychological support following DVT and PE, whereas physicians focus on physical recovery. Treatment intensity could be adjusted to align with patients' preferences. These findings highlight the potential for optimising care for patients and ensuring better outcomes in the management of DVT and PE.
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