RESUMO
Introducción. Actualmente existe consenso en que la atención a la depresión requiere entender las experiencias, expectativas y preferencias de los pacientes e incorporar la visión de los profesionales implicados en su manejo. El objetivo de este estudio fue explorar y comparar las perspectivas de pacientes, familiares y profesionales respecto de las principales áreas de mejora de la práctica clínica de la depresión. Material y métodos. Se realizaron 4 grupos focales (2 con pacientes con depresión mayor, uno con familiares y uno con profesionales). Para la captación de los participantes se contó con la colaboración del Servizo Galego de Saúde y de la Federación de Asociaciones de Familiares y Personas con Enfermedad Mental. El contenido de las transcripciones se analizó temáticamente. Resultados. Se identificaron 5 temas principales y 18 subtemas: los retos diagnósticos, la necesidad de un abordaje integral, las mejoras en la coordinación y seguimiento, el establecimiento de un espacio y relación terapéutica adecuados y, por último, el impacto del estigma. Los pacientes, familiares y profesionales aportaron información parcialmente coincidente y complementaria sobre estos temas principales. Conclusiones. El manejo de la depresión es una labor compleja que requiere la puesta en marcha de medidas de diferente naturaleza. Incorporar las perspectivas de los principales agentes implicados es fundamental y se hace patente la necesidad de seguir trabajando en modelos de atención a la depresión que optimicen las experiencias de los pacientes y que tengan en cuenta sus preferencias y expectativas (AU)
Introduction. There is currently a consensus that depression care requires understanding the experiences, expectations, and preferences of patients, and incorporating the views of the professionals involved in its management. The aim of this study was to explore and compare the perspectives of patients, families, and health professionals on the main areas for improvement in the clinical practice of depression. Material and methods. Four focus groups were performed (2 with patients with major depression, one with family members, and one with professionals). Participants were recruited with the collaboration the Galician Health Service and the Federation of Associations of Relatives and Persons with Mental Disease. The content of the transcripts were analysed thematically. Results. Five themes and 18 sub-themes emerged, including, diagnostic challenges, the need for a comprehensive approach, improvements in the coordination and monitoring, the establishment of an adequate relationship and therapeutic space and, finally, the impact of stigma. Patients, families and professionals provided partially overlapping and complementary information on these main themes. Conclusions. The management of depression is a complex task, which requires the implementation of measures of a different nature. The incorporation of the perspectives of key stakeholders is essential and it is necessary to continue working on models of care for depression that optimise the experiences of patients, and take into account their preferences and expectations (AU)
Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Depressão/diagnóstico , Depressão/terapia , Pesquisa Qualitativa , Transtorno Depressivo Maior/diagnóstico , Transtorno Depressivo Maior/terapia , Saúde Mental/tendências , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/tendências , 25783/métodos , Relações Médico-Paciente , Relações Profissional-Família , Apoio SocialRESUMO
INTRODUCTION: There is currently a consensus that depression care requires understanding the experiences, expectations, and preferences of patients, and incorporating the views of the professionals involved in its management. The aim of this study was to explore and compare the perspectives of patients, families, and health professionals on the main areas for improvement in the clinical practice of depression. MATERIAL AND METHODS: Four focus groups were performed (2 with patients with major depression, one with family members, and one with professionals). Participants were recruited with the collaboration the Galician Health Service and the Federation of Associations of Relatives and Persons with Mental Disease. The content of the transcripts were analysed thematically. RESULTS: Five themes and 18 sub-themes emerged, including, diagnostic challenges, the need for a comprehensive approach, improvements in the coordination and monitoring, the establishment of an adequate relationship and therapeutic space and, finally, the impact of stigma. Patients, families and professionals provided partially overlapping and complementary information on these main themes. CONCLUSIONS: The management of depression is a complex task, which requires the implementation of measures of a different nature. The incorporation of the perspectives of key stakeholders is essential and it is necessary to continue working on models of care for depression that optimise the experiences of patients, and take into account their preferences and expectations.
Assuntos
Atitude do Pessoal de Saúde , Depressão/terapia , Transtorno Depressivo Maior/terapia , Família , Grupos Focais , HumanosRESUMO
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Assuntos
Humanos , Pesquisa Qualitativa , Garantia da Qualidade dos Cuidados de Saúde , Projetos de PesquisaRESUMO
En este artículo se describe el concepto de investigación cualitativa en salud y se explica cómo plasmar en un artículo original los resultados de dicha investigación. Se ofrecen una serie de criterios orientativos que pueden servir de ayuda al profesional sanitario a la hora de elaborar un artículo realizado con metodología cualitativa para su publicación en una revista científica (AU)
This article describes the concept of qualitative research in health care and explains how to communicate the results of an original article. A series of guidelines are provided that may help the health care professional in the task of preparing an article based on qualitative methodology y for publication in a scientific journal (AU)
Assuntos
Publicações Científicas e Técnicas , Pesquisa Qualitativa , Avaliação da Pesquisa em Saúde , 25783RESUMO
OBJECTIVE: To analyze the care process and treatment outcomes from the perspective of patients undergoing prostatectomy. METHODS: A qualitative study based on depth interviews was performed in 12 of 14 patients who had undergone prostatectomy for localized prostate cancer at a regional hospital. An intentional survey was carried out. Patients were informed about the survey through a letter and by telephone and were asked to decide where they wished the interview to be held. All patients were interviewed by one of the authors who was unrelated with the hospital. The interviews were recorded and transcribed with the patients' consent and the assurance of confidentiality. We performed qualitative analysis of the transcriptions, interviewer's notes and patient hospital discharge reports, and validation through discussion of the results after deleting all identity-related data. RESULTS: Transmission of the care process experiences transcends the presumable adequacy to the conventional phases of diagnosis, treatment and outcome. Patient assessment varied according to the functional results achieved, previous symptoms, patient expectations and interpretation of the information provided. Due to this variability, the urologist's approach should be individualized to each patient from the outset, before the definitive diagnosis is made, and should continue long after surgery. In this regard, substantial shortcomings in urologist-patient communication were found. CONCLUSIONS: The approach to the perspectives of patients with localized prostate cancer is a necessary component that has not been sufficiently developed by the urologist during the clinical management of this disease or its subsequent assessment. Apart from the changes in attitude that the foregoing may entail, it is advisable to incorporate quantitative and qualitative measures that support patient assessment of quality of life and its variability, into the daily practice of all the health professionals involved.
