急性冠状动脉综合征患者以患者为中心的社会支持、健康状况和生活质量评估

Wynne de Jong-Watt, Ines Sherifi
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引用次数: 0

摘要

背景:健康状况(HS)和社会支持的测量越来越被接受为指导临床决策和以患者为中心的实践的工具。目的:评估急性冠脉综合征(ACS)患者自我报告的HS、心脏健康相关生活质量和社会支持。设计:本研究采用定量描述性设计。样本:36名被诊断为ACS的受试者从安大略省多伦多市一家教学医院的医疗单位入院的患者中选择。方法:采用有效可靠的心脏特异性HS和社会支持措施进行一次性半结构化访谈。结果:分析表明,感知社会支持越高的受试者和收入越高的患者治疗满意度和C-HROL越高。重度心绞痛患者的社会支持感知水平高于中度心绞痛患者。结论:社会环境和HS对患者治疗满意度有显著影响。以患者为中心的措施有助于临床决策,以患者为中心的护理计划和患者参与他们的护理。
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Patient-centred assessment of social support, health status and quality of life in patients with acute coronary syndrome.

Background: Measurement of health status (HS) and social support are becoming increasingly accepted as tools to guide clinical decision-making and patient-centred practice.

Purpose: To assess self-reported HS, cardiac-health related quality of life and social support in subjects with a diagnosis of acute coronary syndrome (ACS).

Design: The study used a quantitative descriptive design.

Sample: 36 subjects with a diagnosis of ACS were selected from patients admitted to medical units at a teaching hospital in Toronto, Ontario.

Methods: One-time, semi-structured interviews were conducted using valid and reliable cardiac-specific HS and social support measures.

Results: Analysis indicated that subjects with higher perceived social support and patients with higher income reported greater treatment satisfaction and C-HROL. Subjects with severe angina reported a higher perceived level of social support than those with more moderate physical limitation due to angina.

Conclusion: Patients' social environment and HS significantly impact their satisfaction with treatment. Patient-centred measures assist in clinical decision-making, patient-centred care planning and patient involvement in their care.

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