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首页> 外文期刊>International Journal of Chronic Diseases >Exploring the Unmet Needs of the Patients in the Outpatient Respiratory Medical Clinic: Patients versus Clinicians Perspectives
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Exploring the Unmet Needs of the Patients in the Outpatient Respiratory Medical Clinic: Patients versus Clinicians Perspectives

机译：在门诊呼吸内科诊所探索患者未满足的需求：患者与临床医生的观点

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Aim. Developing a theoretical framework explaining patients’ behaviour and actions related to unmet needs during interactions with health care professionals in hospital-based outpatient respiratory medical clinics.Background. The outpatient respiratory medical clinic plays a prominent role in many patients’ lives regarding treatment and counselling increasing the need for a better understanding of patients’ perspective to the counselling of the health care professionals.Design. The study is exploratory and based on Charmaz’s interpretation of grounded theory.Methods. The study included 65 field observations with a sample of 43 patients, 11 doctors, and 11 nurses, as well as 30 interviews with patients, conducted through theoretical sampling from three outpatient respiratory medical clinics in Denmark.Findings. The patients’ efforts to share their significant stories triggered predominantly an adaptation or resistance behaviour, conceptualized as “fitting in” and “fighting back” behaviour, explaining the patients’ counterreactions to unrecognized needs during the medical encounter.Conclusion. Firstly this study allows for a better understanding of patients’ counterreactions in the time-pressured and, simultaneously, tight structured guidance program in the outpatient clinic. Secondly the study offers practical and ethical implications as to how health care professionals’ attitudes towards patients can increase their ability to support emotional suffering and increase patient participation and responsiveness to guidance in the lifestyle changes.
机译：目标。建立理论框架，解释与医院门诊呼吸内科诊所医护人员互动期间患者未满足需求的行为和行动。门诊呼吸内科诊所在许多患者的生活中扮演着重要角色，涉及治疗和咨询，因此需要对医疗专业人员的咨询更好地了解患者的观点。该研究是探索性的，基于Charmaz对扎根理论的解释。该研究包括65个现场观察，包括43位患者，11位医生和11位护士的样本，以及对30位患者的访谈，这些访谈来自丹麦3家门诊呼吸诊所的理论样本。患者分享重要故事的努力主要触发了适应或抵抗行为，概念上被定义为“适应”和“反击”行为，解释了患者在医疗遭遇期间对无法识别的需求的反作用。首先，这项研究可以使患者在门诊诊所的时间紧迫且结构严密的指导计划中更好地了解患者的反作用。其次，该研究对医疗保健专业人员对患者的态度如何提高他们承受情感痛苦的能力以及增加患者对生活方式改变指导的参与和反应的能力提出了实践和伦理意义。

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