A qualitative study on the participation of patients with rheumatoid arthritis in shared medical appointments experience
10.3761/j.issn.0254-1769.2024.16.008
- VernacularTitle:类风湿关节炎患者参与共享门诊体验的质性研究
- Author:
Caihong ZHANG
1
;
Yahui CHENG
;
Xia CHENG
;
Jia SHEN
;
Wenling CHU
;
Chunxiang SHI
Author Information
1. 200052 上海市 上海市光华中西医结合医院关节康复科
- Keywords:
Rheumatoid Arthritis;
Shared Medical Appointments;
Outpatient Nursing;
Experience;
Quali-tative Research
- From:
Chinese Journal of Nursing
2024;59(16):1972-1978
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the experience of patients with rheumatoid arthritis participating in the shared medical appointments(SMA),so as to provide references for medical staff to formulate targeted intervention strategies.Methods By the descriptive phenomenology research method in qualitative research,14 patients with rheumatoid arthritis who participated in the SMA in a tertiary A integrated traditional Chinese and western medicine hospital in Shanghai from August to October 2023 were selected for the in-depth interviews,and the data were analyzed and themes were extracted by Colaizzi 7-step analysis method.Results The experience of patients with rheumatoid arthritis participating in SMA can be summarized into 3 themes:①Driving factors of participation in SMA(seeking clarity and resolution,seeking support and hope);②Perceived benefits of participation in SMA(feelings of efficiency and convenience,reduced isolation,increased security,reduced stigma,increased self-efficacy,insights and experiences,lifestyle changes);(3)Barriers to participation in shared outpatient procedures(obscure medical terminology,inapplicability to some special groups,single content and form of sharing,worries and concerns about personal privacy disclosure,transportation inconvenience and time conflicts).Conclusion Medical staff should pay attention to the experience of patients with rheumatoid arthritis participating in the SMA,improve the training skills of medical staff,solve the obstacles in the process of participation in the SMA,and promote the continuous improvement and development of the SMA.
