Stakeholders' Views on Reducing Psychological Distress in Chronic Obstructive Pulmonary Disease.
Stakeholders' Views on Reducing Psychological Distress in Chronic Obstructive Pulmonary Disease.
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利益相关者对减轻慢性阻塞性肺疾病患者心理困扰的看法。
DOI：
10.1016/j.jpainsymman.2021.06.021
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发表时间：
2022-01
影响因子：
4.7
通讯作者：
Schnoll RA
中科院分区：
文献类型：
--
作者：
Hart JL;Hong D;Summer A;Schnoll RA
心理困扰在慢性阻塞性肺疾病（COPD）患者中非常普遍，这是此类患者认为姑息治疗的首要任务，并且与不良预后相关。然而，慢性阻塞性肺病患者很少因心理困扰而接受护理。确定在专业肺部环境中减少慢性阻塞性肺病患者心理困扰的障碍和机会。我们根据实施研究综合框架与两个肺部诊所的主要利益相关者（包括临床医生、工作人员、患者和护理人员）进行了半结构化访谈。我们重点关注慢性阻塞性肺病护理中心理困扰的相关性、识别和管理。我们识别了新出现的模式和概念，开发了代码并将其应用到文本中，并检查了每个代码中的内容以识别关键主题。 31 位利益相关者参与了访谈（RR=64.6%）。几乎所有肺部临床医生都认为心理健康是患者的一项重要但未得到满足的需求。然而，大多数肺部临床医生报告说，他们缺乏足够的培训和可用资源来支持患者，将身体症状和药物管理置于情感关注之上，并且认为在肺部诊所环境中对此类努力的文化支持有限。患者和护理人员参与者希望将解决心理困扰的护理整合并优先考虑到常规肺部护理中。减轻心理困扰是慢性阻塞性肺病姑息治疗的首要任务。将高效、有效的资源（例如解决心理困扰的工具或计划）整合到为大量慢性阻塞性肺病患者提供服务的肺部诊所环境中，可以改善对通常缺乏专业姑息治疗服务的患者的支持性护理的提供。
Psychological distress is highly prevalent among patients with chronic obstructive pulmonary disease (COPD), the top palliative care priority identified by such patients, and associated with poor outcomes. However, patients with COPD rarely receive care for psychological distress. To identify the barriers and opportunities to reducing psychological distress among patients with COPD in the specialty pulmonary setting. We conducted semi-structured interviews based on Consolidated Framework for Implementation Research constructs with key stakeholders at two pulmonary clinics, including clinicians, staff, patients, and caregivers. We focused on the relevance, identification, and management of psychological distress in COPD care. We identified emergent patterns and concepts, developed and applied codes to the text, and examined the content in each code to identify key themes. Thirty-one stakeholders participated in interviews (RR=64.6%). Nearly all pulmonary clinicians felt that psychological well-being was a critical, unmet patient need. Yet, most pulmonary clinicians reported that they lacked sufficient training and available resources to support patients, prioritized physical symptoms and medication management over emotional concerns, and perceived limited cultural support for such efforts in the pulmonary clinic setting. Patient and caregiver participants desired integration and prioritization of care addressing psychological distress into routine pulmonary care. Mitigating psychological distress is a palliative care priority in COPD. Integrating efficient, effective resources, such as tools or programs that address psychological distress, into pulmonary clinic settings serving a high volume of patients with COPD may improve the provision of supportive care to patients typically underserved by specialty palliative care.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.2147/copd.s141974
发表时间：
2017-01-01
影响因子：
2.8
作者：
Duenk, R. G.;Verhagen, C.;Engels, Y.
通讯作者：
Engels, Y.
影响因子：
4.7
作者：
Cheung, Stephanie;Spaeth-Rublee, Brigitta;Pincus, Harold Alan
通讯作者：
Pincus, Harold Alan
影响因子：
1.8
作者：
Pawlow, Patricia;Dahlin, Constance;Ersek, Mary
通讯作者：
Ersek, Mary
DOI：
10.1183/13993003.01879-2017
发表时间：
2018-03
期刊：
The European respiratory journal
影响因子：
--
作者：
Bloom CI;Slaich B;Morales DR;Smeeth L;Stone P;Quint JK
通讯作者：
Quint JK