基于质性研究的新疆尘肺病康复站运行现状调查
Investigation of the operation status of pneumoconiosis rehabilitation stations in Xinjiang based on qualitative research
韩宜成 1杨成新 2何平 2李雪丹 1杨丹 3李涛3
作者信息
- 1. 新疆医科大学公共卫生学院,新疆乌鲁木齐 830011
- 2. 新疆维吾尔自治区第三人民医院,新疆乌鲁木齐 830091
- 3. 石河子大学,新疆石河子 832000
- 折叠
摘要
目的 分析新疆尘肺病康复站运行过程中存在的问题,探讨亟需解决的问题并提出对策.方法 采用目的抽样,在新疆7家尘肺病康复站符合纳排标准的康复站管理者、康复医师中选取11人.基于生态系统理论,设计访谈大纲与调查对象进行半结构式访谈,访谈内容包括新疆尘肺病康复站运行现状及现存困难,结合实地现场调查结果,采用Colaizzi7步分析法对访谈资料进行整理分析.结果 在微观系统层面,患者对康复站的重视程度较低,参与肺康复工作的积极性、依从性较差;在中观系统层面,患者的康复计划完成率较低;康复站的管理制度需完善,现存培训机制需优化,康复医师专业水平需提升.在宏观系统层面,工伤医保制度及薪酬制度需优化.结论 新疆尘肺病康复站工作存在明显不足,今后需以提升康复服务质量为重点,不断完善人才培养机制,加强培训质量.促进尘肺病康复站工伤医保全覆盖,并建立合理的薪酬制度.
Abstract
Objective To analyze the problems existing in the operation of pneumoconiosis rehabilitation stations in Xinjiang,explore the urgent problems,and put forward relevant countermeasures.Methods Using the purpose sampling method,we selected 11 managers and rehabilitation physicians from 7 rehabilitation stations who met the inclusion criteria.Based on the ecosystem theory,the interview outline was designed to conduct semi-structured interviews with the subjects,including the operation status and existing difficulties of the pneumoconiosis rehabilitation station in Xinjiang.Based on the results of field investigations,the Colaizzi 7-step analysis method was used to organize and analyze the interview data.Results At the microscale level,patients paid less attention to the rehabilitation station,and patients'motivation and adherence to participate in pulmonary rehabilitation training was poor.At the medium-scale level,patients had a lower rate of completion of rehabilitation programs,the management system of rehabilitation stations needed to be improved,the existing training mechanism needed to be optimized,and the professional level of rehabilitation physicians needed to be improved.At the macroscale level,work-related injury medical insurance and salary systems should be optimized.Conclusion There are still obvious deficiencies in the work of Xinjiang pneumoconiosis rehabilitation stations;we should focus on improving the quality of rehabilitation services,continuously improving the talent training mechanism,strengthening the quality of training,promoting full coverage of work-related medical insurance for pneumo-coniosis rehabilitation stations,and establishing a reasonable remuneration system.
关键词
尘肺病/康复站/质性研究/生态系统理论Key words
Pneumoconiosis/Pneumoconiosis rehabilitation station/Qualitative research/Ecosystem theory引用本文复制引用
基金项目
"天山英才"高层次医药卫生领军人才培养计划(TSYC202301A088)
新疆维吾尔自治区第三人民医院项目(2022QSYYK03)
出版年
2024
NETL
NSTL
万方数据