Patients' experience of self-testing measuring total white cell count and C reactive protein during treatment at home with antibiotics: a qualitative study

患者在家接受抗生素治疗期间进行白细胞总数和C反应蛋白自我检测的体验:一项定性研究

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Abstract

OBJECTIVE: To explore patients' experiences and preferences of self-testing using white cell count point-of-care test (POCT) and C reactive protein POCT during antibiotic treatment at home. SETTING: A University Hospital in the Region of Zealand (DK). PARTICIPANTS: 10 inpatients treated with antibiotics who were discharged from hospital to continue antibiotic treatment at home. They were trained in the hospital supervised by research personnel before self-testing at home. DESIGN: An explorative qualitative study using thematic analysis. RESULTS: The participants considered the self-testing beneficial, mainly due to not having to travel to get a blood test drawn, the rapid test time and the ability to closely monitor their treatment. The participants perceived that self-testing at home would make them feel more in control of their disease and would give them the ability to live a more normal life. Moreover, self-testing at home showed to be feasible for some patients but with barriers to overcome, such as the ability to use technology and cognitive challenges. CONCLUSIONS: Our study showed that self-testing at home was feasible for some patients, provided they received thorough training at the hospital ensuring that participants were able to conduct the self-testing and use the smartphone technology before transitioning to their home. This could help reduce barriers to home self-testing by highlighting its benefits and emphasising the need for adequate patient guidance and support.

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