Semi-structured interview schedule. (DOCX 12 kb

Ambler, Nicholas

Clarke, Joy

Clarke, Joyce

Dures, Emma

Gooberman-Hill, Rachael

Hewlett, Sarah

Jenkins, Remona

BMC Musculoskeletal Disorders

PubMed

BackgroundSelf-management of inflammatory arthritis (IA) requires patients to address the impact of symptoms, treatment, and the psychosocial consequences of a long term condition. There are several possible mechanisms for facilitating self-management, including patient-clinician interactions in routine consultations. This requires patients to collaborate in their healthcare, and clinicians to specifically encourage and help patients to do so. To design training that enables clinicians to support patients to be actively involved and self-manage requires understanding both patients’ and clinicians’ perspectives about what is important and feasible. Previous research explored the perspectives of clinicians who had undertaken brief training which they were putting into practice in their routine consultations. This study explored the perspectives of patients attending those routine consultations to identify aspects of the interaction that influenced collaboration and self-management.MethodsNineteen patients with IA who had attended a routine consultation with a rheumatology clinician at one of four hospitals in England took part in semi-structured interviews. Interviews were transcribed, anonymised and analysed using inductive thematic analysis.ResultsThree themes encompass participants’ thoughts about interactions that facilitated collaboration in consultations and their ability to self-manage their IA: first, patients and clinicians viewing care as a shared endeavour, including patients responding actively to their IA and clinicians exploring and negotiating with patients; second, the need for clinicians to understand the challenges faced by patients, appreciate the impact of IA and focus on patients’ priorities; and third, clinicians using an open communication style, including the use of non-didactic, patient-centred approaches. A fourth theme was perceived benefits of actively engaging in consultations, including increased confidence to deal with the impact of IA and greater acceptance of a long term condition.ConclusionsPatients perceive that self-management can be facilitated when clinicians and patients view healthcare as a shared responsibility, underpinned by clinicians as experts in the disease and patients as experts in living with it. Clinicians can support patients’ self-management by using non-didactic communication skills to identify patients’ priorities, and to prompt patients to problem-solve and share in setting the consultation agenda. This should inform skills-training for rheumatology clinicians

Dures, E

Hewlett, S

Ambler, N

Jenkins, R

Clarke, J

Explore Bristol Research

A qualitative study of patients' perspectives on collaboration to support self-management in routine rheumatology consultations

Баранов, Д. С.

Сродных, Т. Б.

Electronic archive of the Ural State Forest Engineering University

ɉɨɬɚɩɨɜɚȿȽɉɪɚɜɢɥɚɱɬɟɧɢɹɥɚɬɢɧɫɤɢɯɧɚɡɜɚɧɢɣɪɚɫɬɟɧɢɣȿɤɚɬɟɪɢɧɛɭɪɝɍȽɅɌɍɫɍȾɄɋɬɭɞȾɋȻɚɪɚɧɨɜɊɭɤɌȻɋɪɨɞɧɵɯɍȽɅɌɍȿɤɚɬɟɪɢɧɛɭɪɝАНАЛИЗ ВИДОВОГО СОСТАВА  НАСАЖДЕНИЙ СКВЕРАПЕРЕД ТЦ «ПАССАЖ» (ЕКАТЕРИНБУРГ)ȼɫɨɜɪɟɦɟɧɧɵɯɝɨɪɨɞɫɤɢɯɭɫɥɨɜɢɹɯɩɪɢɩɥɨɬɧɨɣɡɚɫɬɪɨɣɤɟɫɨɨɪɭɠɟɧɢɟ ɫɤɜɟɪɨɜ ɢɦɟɟɬ ɛɨɥɶɲɨɟ ɡɧɚɱɟɧɢɟ Ɉɡɟɥɟɧࣉɧɧɵɟ ɭɱɚɫɬɤɢ ɩɨɪɨɣ ɞɚɠɟɧɟɛɨɥɶɲɢɟ ɩɥɨɳɚɞɶ ɫɤɜɟɪɨɜ ɫɨɫɬɚɜɥɹɟɬ ± ɝɚ ɦɨɝɭɬ ɜɵɩɨɥɧɹɬɶ ɧɟɫɤɨɥɶɤɨɮɭɧɤɰɢɣɭɥɭɱɲɚɸɬɜɢɡɭɚɥɶɧɭɸɫɪɟɞɭɜɝɨɪɨɞɟɱɬɨɩɨɥɨɠɢɬɟɥɶɧɨ ɫɤɚɡɵɜɚɟɬɫɹ ɧɚ ɩɫɢɯɨɷɦɨɰɢɨɧɚɥɶɧɨɦ ɫɨɫɬɨɹɧɢɢ ɝɪɚɠɞɚɧ ɫɥɭɠɚɬ ɦɟɫɬɨɦɨɬɞɵɯɚɦɟɫɬɧɵɯɠɢɬɟɥɟɣ ɨɛɟɫɩɟɱɢɜɚɸɬ ɬɪɚɧɡɢɬɧɵɣ ɩɪɨɩɭɫɤ ɩɟɲɟɯɨɞɨɜɢɬɞɈɫɨɛɵɟɬɪɟɛɨɜɚɧɢɹɦɨɝɭɬɩɪɟɞɴɹɜɥɹɬɶɫɹɤɫɤɜɟɪɚɦɪɚɫɩɨɥɨɠɟɧɧɵɦ ɜ ɰɟɧɬɪɚɥɶɧɵɯ ɪɚɣɨɧɚɯ ɝɨɪɨɞɚ ɫɪɟɞɢ ɨɛɳɟɫɬɜɟɧɧɨɣ ɡɚɫɬɪɨɣɤɢɡɞɟɫɶ ɨɱɟɧɶ ɜɚɠɟɧɯɭɞɨɠɟɫɬɜɟɧɧɨɞɟɤɨɪɚɬɢɜɧɵɣ ɚɧɫɚɦɛɥɶ ɫɤɜɟɪɚ ɫ ɚɪɯɢɬɟɤɬɭɪɨɣɡɞɚɧɢɣ>@ɋɨɜɪɟɦɟɧɧɵɣ ɨɛɥɢɤ ɪɚɫɫɦɚɬɪɢɜɚɟɦɨɝɨ ɫɤɜɟɪɚ ɩɟɪɟɞ Ɍɐ ©ɉɚɫɫɚɠªɛɵɥɫɮɨɪɦɢɪɨɜɚɧɜɪɟɡɭɥɶɬɚɬɟ©ɪɟɤɨɧɫɬɪɭɤɰɢɢªɚɩɨɫɭɬɢɫɨɡɞɚɧɢɹɧɨɜɨɝɨ ɡɞɚɧɢɹ Ɍɐ ©ɉɚɫɫɚɠª Ɋɟɤɨɧɫɬɪɭɤɰɢɹ ɜɫɟɣ ɬɟɪɪɢɬɨɪɢɢ ɩɪɨɜɨɞɢɥɚɫɶ ɫɩɨɝɝ>@ɉɪɨɟɤɬɨɡɟɥɟɧɟɧɢɹɢɛɥɚɝɨɭɫɬɪɨɣɫɬɜɚɞɚɧɧɨɝɨɫɤɜɟɪɚɛɵɥɫɨɫɬɚɜɥɟɧɝɨɥɥɚɧɞɫɤɢɦɢɚɪɯɢɬɟɤɬɨɪɚɦɢɦɟɠɞɭɧɚɪɨɞɧɨɝɨɛɸɪɨ.&$3$UFKLWHFWV	3ODQQHUV>@Ɍɟɪɪɢɬɨɪɢɹ ɫɤɜɟɪɚ ɫɨɡɞɚɧɧɨɝɨ ɜ  ɝ ɩɪɨɟɤɬ ɚɪɯɢɬɟɤɬɨɪɨɜɇȺȻɨɣɧɨɊɨɞɡɟɜɢɱɚ ɢɋȼȾɨɦɛɪɨɜɫɤɨɝɨɧɟɫɤɨɥɶɤɨɪɚɡ ɩɨɞɜɟɪɝɚɥɚɫɶɪɟɤɨɧɫɬɪɭɤɰɢɢɉɥɨɳɚɞɶɫɤɜɟɪɚɫɨɤɪɚɬɢɥɚɫɶɩɨɱɬɢɜɪɚɡɚɢɫɨɫɬɚɜɥɹɟɬɜɧɚɫɬɨɹɳɟɟ ɜɪɟɦɹ  ɝɚ ɞɚɧɧɵɟ ɛɵɥɢ ɩɨɥɭɱɟɧɵ ɜ ɪɟɡɭɥɶɬɚɬɟ ɨɛɪɚɛɨɬɤɢɚɷɪɨɫɧɢɦɤɚɜɩɪɨɝɪɚɦɦɟ4*,6ɋɨɜɪɟɦɟɧɧɵɣɫɤɜɟɪɢɦɟɟɬɪɟɝɭɥɹɪɧɭɸɩɥɚɧɢɪɨɜɤɭɐɟɧɬɪɨɦɟɝɨɤɨɦɩɨɡɢɰɢɢ ɹɜɥɹɟɬɫɹ ɮɨɧɬɚɧ ɪɚɫɩɨɥɨɠɟɧɧɵɣ ɩɟɪɟɞ ɝɥɚɜɧɵɦ ɜɯɨɞɨɦ ɜ Ɍɐ©ɉɚɫɫɚɠªɎɨɧɬɚɧɨɪɢɝɢɧɚɥɶɧɵɣɫɬɪɭɣɧɵɣɫɬɪɭɢɛɶɸɬɢɡɦɨɳɟɧɢɹɤɭɞɚɜɦɨɧɬɢɪɨɜɚɧɵ ɮɨɪɫɭɧɤɢ ɩɨɤɪɵɬɢɟ ɜɵɩɨɥɧɟɧɨ ɢɡ ɭɪɚɥɶɫɤɨɝɨ ɝɪɚɧɢɬɚɐɜɟɬɧɢɤɢɜɵɩɨɥɧɟɧɵɜɜɢɞɟɟɦɤɨɫɬɟɣɩɪɢɩɨɞɧɹɬɵɯɩɨɞɢɭɦɨɜɢɡɤɨɪɪɨɞɢɪɨɜɚɧɧɨɣɫɬɚɥɢɪɚɡɥɢɱɧɨɣɜɵɫɨɬɵȼɞɨɥɶɧɢɯɪɚɫɩɨɥɨɠɟɧɵɞɟɪɟɜɹɧɧɵɟɫɤɚɦɶɢɨɛɥɢɤɞɨɩɨɥɧɹɸɬɜɟɪɬɢɤɚɥɶɧɵɟɫɬɟɥɥɵɢɡɬɨɝɨɠɟɦɚɬɟɪɢɚɥɚɱɬɨɢɰɜɟɬɨɱɧɢɰɵɗɥɟɤɬɪɨɧɧɵɣ ɚɪɯɢɜ ɍȽɅɌɍɈɫɧɨɜɭɤɨɦɩɨɡɢɰɢɢɫɤɜɟɪɚɫɨɫɬɚɜɥɹɸɬɤɥɟɧɨɜȼɟɦɤɨɫɬɢɜɵɫɚɠɟɧɵɦɧɨɝɨɥɟɬɧɢɟɬɪɚɜɹɧɢɫɬɵɟɪɚɫɬɟɧɢɹɢɤɭɫɬɚɪɧɢɤɢȼɰɟɥɨɦɤɨɦɩɨɡɢɰɢɹɧɚɩɨɦɢɧɚɟɬ ɥɚɧɞɲɚɮɬɧɵɟ ɰɜɟɬɧɢɤɢ ɉɢɬɚ ɍɞɨɥɶɮɚ Ȼɵɥɢ ɢɫɩɨɥɶɡɨɜɚɧɵɪɚɫɬɟɧɢɹ ©ɉɢɬɨɦɧɢɤɚɋɚɜɜɚɬɟɟɜɵɯªɉɟɪɜɨɧɚɱɚɥɶɧɨ ɢɯ ɚɫɫɨɪɬɢɦɟɧɬ ɛɵɥɧɟɜɟɥɢɤ Ɉɧ ɩɪɟɞɫɬɚɜɥɟɧ  ɜɢɞɚɦɢ ɢ ɮɨɪɦɚɦɢ ɤɥࣉɧ ɨɫɬɪɨɥɢɫɬɧɵɣ ɮ©Ⱦɟɛɨɪɚª Acer platanoides ©'HERUDKª ɞࣉɪɟɧ ɛɟɥɵɣ ɮ ©ɗɥɟɝɚɧɬɢɫɫɢɦɚªSwida alba ©(OHJDQWLVVLPDª ɤɪɨɜɨɯɥࣉɛɤɚ ɥɟɤɚɪɫɬɜɟɧɧɚɹ ɫ ©ɌɚɧɧɚªSanguisorba officinalis ©7DQQDª ɛɚɪɛɚɪɢɫ Ɍɭɧɛɟɪɝɚ ɮ ©Ƚɪɢɧ ɄɚɪɩɟɬªBerberis thunbergii©*UHHQ&DUSHWªɦɨɠɠɟɜɟɥɶɧɢɤɤɚɡɚɰɤɢɣɮ©Ɍɚɦɚɪɢɫɰɢɮɨɥɢɹª Juniperus sabina ©7DPDULVFLIROLDª ɥɚɩɱɚɬɤɚ ɤɭɫɬɚɪɧɢɤɨɜɚɹ ɮ©Ɍɚɧɠɟɪɢɧª Potentilla fruticosa ©7DQJHULQHª ɦɨɥɢɧɢɹ ɝɨɥɭɛɚɹ Molinia caeruleaɥɭɝɨɜɢɤɞɟɪɧɢɫɬɵɣDeschampsia cespitosaɜɟɣɧɢɤɨɫɬɪɨɰɜɟɬɤɨɜɵɣ ɫ ©Ʉɚɪɥ Ɏɟɫɬɟɪª Calamagrostis acutiflora ©.DUO )RHUVWHUª ɯɨɫɬɚ ɫ©ȺɧɧɚɤɭɥɩɚªHosta©$QQ.XOSDªɉɨɡɠɟɛɵɥɢɩɨɞɫɚɠɟɧɵɚɫɬɢɥɶɛɚȺɪɟɧɞɫɚ©6QRZGULIWªAstilbe arendsii©6QRZGULIWªɚɫɬɢɥɶɛɚȺɪɟɧɞɫɚ©6SDUWDQªAstilbe arendsii ©6SDUWDQªɯɨɫɬɚɝɢɛɪɢɞɧɚɹ ©&RORU )HVWLYDOª Hosta hybridum ©&RORU )HVWLYDOª ɯɨɫɬɚ ɛɟɥɨɨɤɚɣɦɥࣉɧɧɚɹ©%ULP&XSªHostaalbo-marginata ©%ULP&XSªɯɨɫɬɚɥɚɧɰɟɬɨɥɢɫɬɧɚɹ©%OXH$QJHOªHosta lancifolia ©%OXH$QJHOªɛɚɪɛɚɪɢɫɌɭɧɛɟɪɝɚɫ©$WURSXUSXUHD1DQDªBerberis thunbergii ©$WURSXUSXUHD1DQDªɛɚɪɛɚɪɢɫɌɭɧɛɟɪɝɚ ©$XUHDª Berberis thunbergii ©$XUHDª ɝɟɣɯɟɪɚ ɝɢɛɪɢɞɧɚɹ ɫ©2EVLGLDQªHeuchera hibrida ©2EVLGLDQªɰɢɦɢɰɢɮɭɝɚɩɪɨɫɬɚɹ&LPLFLIXJDVLPSOH[ ɝɨɪɬɟɧɡɢɹ ɦɟɬɟɥɶɱɚɬɚɹ ɮ ©$QJHOV %OXVKª Hydrangea paniculata©$QJHOV %OXVKª ɝɨɪɬɟɧɡɢɹ ɦɟɬɟɥɶɱɚɬɚɹ ɮ ©Ƚɪɚɧɞɢɮɥɨɪɚª Hydrangea paniculata ©*UDQGLIORUDª ɝɨɪɬɟɧɡɢɹ ɞɪɟɜɨɜɢɞɧɚɹ ©,QYLQFLEHOOH 6SLULWªHydrangea arborescens ©,QYLQFLEHOOH 6SLULWª ɫɩɢɪɟɹ ɹɩɨɧɫɤɚɹ ɮ©*ROGIODLPª6SLUDHDMDSRQLFD©*ROGIODPHªɫɩɢɪɟɹɹɩɨɧɫɤɚɹɮ©*ROG3ULQFHVVª 6SLUDHD MDSRQLFD ©*ROG 3ULQFHVVª ɢɪɢɫ ɛɨɥɨɬɧɵɣ ,ULV SVHXGDFRUXVɢɪɢɫ ɛɨɪɨɞɚɬɵɣ ,ULV EHDUGHG ɥɢɥɟɣɧɢɤ ɝɢɛɪɢɞɧɵɣ Hemerocallishybridum ɪɨɡɚɤɚɧɚɞɫɤɚɹ ɫ ©1LFRODVª Park rose ©1LFRODVª ɩɭɡɵɪɟɩɥɨɞɧɢɤ ɤɚɥɢɧɨɥɢɫɬɧɵɣ ɮ ©*ROGHQ 1XJJHWª Physocarpus opulifolius ©*ROGHQ1XJJHWªȼɫɟɝɨɩɪɢɫɭɬɫɬɜɭɟɬɜɢɞɞɟɪɟɜɶɟɜɜɢɞɨɜɢɮɨɪɦɤɭɫɬɚɪɧɢɤɨɜɢɜɢɞɨɜɢɮɨɪɦɦɧɨɝɨɥɟɬɧɢɯɬɪɚɜɹɧɢɫɬɵɯɉɪɟɨɛɥɚɞɚɸɬɤɭɫɬɚɪɧɢɤɢɫɟɦɟɣɫɬɜɚɊɨɡɨɰɜɟɬɧɵɟRosaceaeȾɟɤɨɪɚɬɢɜɧɨɫɬɶɤɨɦɩɨɡɢɰɢɣɧɚɛɥɸɞɚɟɬɫɹɫɪɚɧɧɟɣɜɟɫɧɵɞɨɜɵɩɚɞɟɧɢɹ ɫɧɟɝɚ ɩɨɡɞɧɟɣ ɨɫɟɧɶɸ ȼɟɫɧɨɣ ɡɚ ɫɱɟɬ ɪɚɫɩɭɫɤɚɧɢɹ ɥɢɫɬɶɟɜ ɤɥɟɧɵ ɜɷɬɨɬɩɟɪɢɨɞɢɦɟɸɬɤɪɚɫɧɭɸɨɤɪɚɫɤɭɜɰɜɟɬɨɱɧɢɰɚɯɧɚɛɟɥɨɣɦɪɚɦɨɪɧɨɣɨɬɫɵɩɤɟ ɩɪɟɤɪɚɫɧɨ ɜɵɝɥɹɞɹɬ ɬɟɦɧɨɡɟɥɟɧɵɟ ɦɨɠɠɟɜɟɥɶɧɢɤɢ ɢ ɧɚɱɢɧɚɸɬɨɬɪɚɫɬɚɬɶ ɞɟɤɨɪɚɬɢɜɧɨ ɜɵɝɥɹɞɹɬ ɩɟɫɬɪɨɥɢɫɬɧɵɟ ɤɭɫɬɚɪɧɢɤɢ ɥɟɬɨɦ ɞɟɤɨɪɚɬɢɜɧɨ ɜɵɝɥɹɞɹɬ ɰɜɟɬɭɳɢɟ ɪɚɫɬɟɧɢɹ ɤɪɨɜɨɯɥࣉɛɤɚ ɥɟɤɚɪɫɬɜɟɧɧɚɹ ɯɨɫɬɵɚɫɬɢɥɶɛɚ Ⱥɪɟɧɞɫɚ ɢɪɢɫɵ ɥɢɥɟɣɧɢɤɢ ɥɚɩɱɚɬɤɚ ɤɭɫɬɚɪɧɢɤɨɜɚɹ ɢ ɫɩɢɪɟɢɗɥɟɤɬɪɨɧɧɵɣ ɚɪɯɢɜ ɍȽɅɌɍɨɫɟɧɶɸɧɚɮɨɧɟɠɟɥɬɨɜɚɬɨɣɞɵɦɤɢɡɥɚɤɨɜɹɪɤɨɜɵɝɥɹɞɹɬɩɭɪɩɭɪɧɵɟɛɚɪɛɚɪɢɫɵ ɞɨ ɫɟɪɟɞɢɧɵ ɨɤɬɹɛɪɹ ɟɳɟ ɞɟɪɠɚɬɫɹ ɫɨɰɜɟɬɢɹ ɝɨɪɬɟɧɡɢɣ ɢ ɹɪɤɢɯɪɨɡБиблиографический списокɉɪɨɯɨɪɨɜɚɆɂɌɢɩɵɫɤɜɟɪɨɜ>ɗɥɟɤɬɪɨɧɧɵɣɪɟɫɭɪɫ@ɅɚɧɞɲɚɮɬɧɚɹɚɪɯɢɬɟɤɬɭɪɚɢɡɟɥࣉɧɨɟɫɬɪɨɢɬɟɥɶɫɬɜɨɆȽɨɫɚɪɯɢɬɢɡɞɜɨɒɦɢɧɤɟɂɎɨɧɬɚɧɜɫɤɜɟɪɟɭ©ɉɚɫɫɚɠɚªɍɊȺɅɇȺɒɂɧɬɟɪɟɫɧɨɟɨȿɤɚɬɟɪɢɧɛɭɪɝɟ85/KWWSZZZXUDOQUXSIRQWDQVNYHUSDVVD]KKWPOɊɨɳɢɧɂ>ɗɥɟɤɬɪɨɧɧɵɣɪɟɫɭɪɫ@ɆɄɍɪɚɥɋɜɟɪɞɥɨɜɫɤɚɹɢɄɭɪɝɚɧɫɤɚɹɨɛɥɚɫɬɶ85/KWWSZZZHEXUJPNUXɍȾɄɋɬɭɞȺȺȻɨɬɨɜɊɭɤȼɆɋɨɥɨɜɶࣉɜɍȽɅɌɍȿɤɚɬɟɪɢɧɛɭɪɝСТРОЕНИЕ И ФОРМИРОВАНИЕ СОСНОВЫХ МОЛОДНЯКОВ РАЗНЫХ ГУСТОТЫ И ВОЗРАСТНОЙ СТРУКТУРЫȼɥɢɹɧɢɟ ɝɭɫɬɨɬɵɞɟɪɟɜɶɟɜɧɚɫɨɫɬɨɹɧɢɟɪɨɫɬɢɩɪɨɞɭɤɬɢɜɧɨɫɬɶɞɪɟɜɨɫɬɨɟɜ ɬɪɚɞɢɰɢɨɧɧɨ ɹɜɥɹɟɬɫɹ ɩɪɟɞɦɟɬɨɦ ɨɫɨɛɨɝɨ ɜɧɢɦɚɧɢɹ ɥɟɫɧɵɯ ɭɱࣉɧɵɯɢɩɪɚɤɬɢɤɨɜ>@Ɉɞɧɚɤɨɞɥɹɟɝɨɚɧɚɥɢɡɚɞɨɫɢɯɩɨɪɧɟɩɪɢɦɟɧɹɸɬɫɹɜɧɭɠɧɨɣɦɟɪɟɦɨɪɮɨɥɨɝɢɱɟɫɤɢɟɦɟɬɨɞɵɫɨɩɪɹɠɟɧɧɨɣɨɰɟɧɤɢɪɨɫɬɚɞɢɮɮɟɪɟɧɰɢɚɰɢɢɞɟɪɟɜɶɟɜɢɫɬɪɨɟɧɢɹɞɪɟɜɨɫɬɨɟɜɐɟɥɶɞɚɧɧɨɣɪɚɛɨɬɵ ±ɫɩɪɢɦɟɧɟɧɢɟɦɪɚɡɧɵɯ ɤɨɥɢɱɟɫɬɜɟɧɧɵɯɦɟɬɨɞɨɜɞɚɬɶɤɨɦɩɥɟɤɫɧɭɸɥɟɫɨɜɨɞɫɬɜɟɧɧɨɬɚɤɫɚɰɢɨɧɧɭɸɨɰɟɧɤɭɪɨɫɬɚɫɬɪɨɟɧɢɹ ɢ ɮɨɪɦɢɪɨɜɚɧɢɹ ɫɨɫɧɨɜɵɯ ɦɨɥɨɞɧɹɤɨɜ ɪɚɡɧɨɣ ɝɭɫɬɨɬɵ ɢ ɜɨɡɪɚɫɬɧɨɣɫɬɪɭɤɬɭɪɵɊɚɛɨɬɚɩɨɞɝɨɬɨɜɥɟɧɚɩɨɪɟɡɭɥɶɬɚɬɚɦɨɛɪɚɛɨɬɤɢɢɚɧɚɥɢɡɚɦɚɬɟɪɢɚɥɨɜɩɪɨɛɧɵɯ ɩɥɨɳɚɞɟɣ ɡɚɥɨɠɟɧɧɵɯ ɜ ɥɟɬɧɢɯ ɫɨɫɧɨɜɵɯɦɨɥɨɞɧɹɤɚɯ ɮɨɪɦɢɪɭɸɳɢɯɫɹ ɧɚ ɜɵɪɭɛɤɚɯ ɫɨɫɧɹɤɚ ɹɝɨɞɧɢɤɨɜɨɝɨ ɩɨɞɡɨɧɵ ɸɠɧɨɣ ɬɚɣɝɢɋɪɟɞɧɟɝɨɍɪɚɥɚȼ ɬɚɛɥɢɰɟ ɩɪɟɞɫɬɚɜɥɟɧɚ ɬɚɤɫɚɰɢɨɧɧɚɹ ɯɚɪɚɤɬɟɪɢɫɬɢɤɚ ɫɨɫɧɨɜɵɯ ɦɨɥɨɞɧɹɤɨɜɢɪɟɡɭɥɶɬɚɬɵɞɢɮɮɟɪɟɧɰɢɚɰɢɢɞɟɪɟɜɶɟɜɜɧɢɯȼ ɜɚɪɢɚɧɬɚɯ ɞɪɟɜɨɫɬɨɟɜ  ɚɦɩɥɢɬɭɞɚ ɜɨɡɪɚɫɬɚ ɞɟɪɟɜɶɟɜ ɫɨɫɬɚɜɥɹɟɬɥɟɬɚɜɜɚɪɢɚɧɬɚɯɢ±ɥɟɬɉɨɦɟɪɟɭɦɟɧɶɲɟɧɢɹɝɭɫɬɨɬɵɞɪɟɜɨɫɬɨɟɜɨɬɜɚɪɢɚɧɬɚɤɜɚɪɢɚɧɬɚɦɢɡɚɤɨɧɨɦɟɪɧɨɫɧɢɠɚɸɬɫɹɤɨɥɢɱɟɫɬɜɨɫɭɯɨɫɬɨɣɧɵɯɞɟɪɟɜɶɟɜɢɨɬɧɨɫɢɬɟɥɶɧɚɹ ɜɵɫɨɬɚ KG ɪɚɫɬɭɳɢɯɞɟɪɟɜɶɟɜɧɨɗɥɟɤɬɪɨɧɧɵɣ ɚɪɯɢɜ ɍȽɅɌɍ

Анализ видового состава насаждений сквера перед ТЦ «Пассаж» (Екатеринбург)

© 2016 Dures et al. Background: Self-management of inflammatory arthritis (IA) requires patients to address the impact of symptoms, treatment, and the psychosocial consequences of a long term condition. There are several possible mechanisms for facilitating self-management, including patient-clinician interactions in routine consultations. This requires patients to collaborate in their healthcare, and clinicians to specifically encourage and help patients to do so. To design training that enables clinicians to support patients to be actively involved and self-manage requires understanding both patients' and clinicians' perspectives about what is important and feasible. Previous research explored the perspectives of clinicians who had undertaken brief training which they were putting into practice in their routine consultations. This study explored the perspectives of patients attending those routine consultations to identify aspects of the interaction that influenced collaboration and self-management. Methods: Nineteen patients with IA who had attended a routine consultation with a rheumatology clinician at one of four hospitals in England took part in semi-structured interviews. Interviews were transcribed, anonymised and analysed using inductive thematic analysis. Results: Three themes encompass participants' thoughts about interactions that facilitated collaboration in consultations and their ability to self-manage their IA: first, patients and clinicians viewing care as a shared endeavour, including patients responding actively to their IA and clinicians exploring and negotiating with patients; second, the need for clinicians to understand the challenges faced by patients, appreciate the impact of IA and focus on patients' priorities; and third, clinicians using an open communication style, including the use of non-didactic, patient-centred approaches. A fourth theme was perceived benefits of actively engaging in consultations, including increased confidence to deal with the impact of IA and greater acceptance of a long term condition. Conclusions: Patients perceive that self-management can be facilitated when clinicians and patients view healthcare as a shared responsibility, underpinned by clinicians as experts in the disease and patients as experts in living with it. Clinicians can support patients' self-management by using non-didactic communication skills to identify patients' priorities, and to prompt patients to problem-solve and share in setting the consultation agenda. This should inform skills-training for rheumatology clinicians

UWE Bristol Research Repository

English

Emma Dures

Sarah Hewlett

Nicholas Ambler

Remona Jenkins

Joyce Clarke

Rachael Gooberman-Hill

Crossref

A qualitative study of patients’ perspectives on collaboration to support self-management in routine rheumatology consultations

Emma Dures (3511385)

Sarah Hewlett (3511382)

Nicholas Ambler (3511376)

Remona Jenkins (3511379)

Joyce Clarke (3511373)

Rachael Gooberman-Hill (482334)

FigShare

Additional file 1: of A qualitative study of patientsâ perspectives on collaboration to support self-management in routine rheumatology consultations

https://figshare.com/articles/Additional_file_1_of_A_qualitative_study_of_patients_perspectives_on_collaboration_to_support_self-management_in_routine_rheumatology_consultations/4405778

Анализ видового состава насаждений сквера перед ТЦ «Пассаж» (Екатеринбург)

Abstract

Similar works

Full text

Available Versions

Explore Bristol Research

Electronic archive of the Ural State Forest Engineering University

UWE Bristol Research Repository

Crossref

FigShare