Experiences of UK patients with hepatitis C virus infection accessing phlebotomy: A qualitative analysis

Experiences of UK patients with hepatitis C virus infection accessing phlebotomy: A qualitative analysis
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DOI:
10.1111/nhs.12173
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发表时间:
2015-06-01
影响因子:
2.7
通讯作者:
Skirton, Heather
Skirton, Heather
中科院分区:
医学4区
文献类型:
--
作者:
Clements, Amanda;Grose, Jane;Skirton, Heather

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这项研究提供了一个理解的经验和认识的静脉切开术的人感染谁有静脉损伤有关注射毒品的目的,以改善他们的护理。叙述性访谈进行了10名与会者的静脉切开术服务在一个急性信任在英格兰西南部。参与者患有丙型肝炎感染,由于目前或以前的药物使用而静脉通路不良。访谈录音带进行了分析,并确定了主题-冲突,情绪反应,病人作为专家,并提供解决方案。在这项研究的背景下,我们讨论了与放血相关的困难,这可能解释了为什么丙型肝炎感染和静脉损伤的个人脱离卫生服务,不太可能进行抗病毒治疗。这项研究增加了关于为弱势群体放血的文献,并建议在药物机构内设立丙型肝炎病毒诊所,需要审查培训和政策,以及制定放血护照,以确保服务之间的连续性。
This study provides an understanding of the experiences and perceptions of phlebotomy in people with infection who have venous damage related to injecting drug use with the aim of improving their care. Narrative interviews were conducted with 10 attendees of a phlebotomy service within an acute Trust in the south-west of England. The participants had hepatitis C infection and poor venous access due to current or former drug use. Interview audiotapes were analyzed, and the themes - conflict, emotional responses, the patient as expert, and offering solutions - were identified. In the context of this study, we discuss the difficulties associated with phlebotomy, which might explain why individuals with hepatitis C infection and venous damage disengage from health services and are less likely to undertake antiviral treatment. This research adds to the literature on phlebotomy for vulnerable groups, and recommends hepatitis C virus clinics within drug agencies, the need to review training and policy, and the development of phlebotomy passports to enable continuity of care between services.