オーストラリアの高齢者介護施設における聴覚サービス提供の障壁と促進要因:聴覚臨床医の見解
Najwan El-Saifi1, Megan E J Campbell1, Neha George1
1The University of Queensland Centre for Hearing Research (CHEAR), The University of Queensland, Brisbane, Australia.
International journal of audiology
|September 5, 2025
まとめ
高齢者のケアにおける 聴覚臨床医の障壁は 認知症の訓練と 感情的支援の欠如です 教育の強化と 連絡役の役割の確立は 高齢のオーストラリア人のための 聴覚サービスを改善することができます
科学分野:
- 聴覚学
- ゲロントロジー
- 医療管理
背景:
- 高齢者の介護施設では 聴覚障害が多く見られます
- 高齢者の福祉には 効果的な聴覚サービスが不可欠です
- 現在のサービス提供は,ホームケアや施設での高齢者ケアに特異的な課題に直面しています.
研究 の 目的:
- オーストラリアの高齢者介護でサービスを提供する聴覚臨床医の障壁と有効要因を特定する.
- 家庭や住居での聴覚医療の提供に影響を与える要因を理解する.
- 高齢者のための聴覚サービスを改善する戦略を策定する.
主な方法:
- 半構造化されたインタビューで オーストラリアの30人の聴覚医とオーディオメトリストが
- 能力,機会,動機付け行動 (COM-B) モデルを利用した.
- 演的および誘導的定性分析 (ブラウンとクラークの方法) を採用した.
主要な成果:
- 主なテーマは 臨床技能,サービス提供の課題,協力,リソース,臨床医の福祉です.
- 障壁は認知症/カウンセリングの訓練の欠如,感情的な自己ケア不足,職場での問題,調整の欠如,時間制限,感情的な負担です.
- 経験,明確なプロトコル,介護スタッフ/家族からのサポート,内在的な動機
結論:
- 認知症のケア,カウンセリング,感情的な自己ケアに関する標的型トレーニングは,聴覚臨床医に推奨されます.
- 専用の聴覚連絡役の役割を実装することで,サービスの提供を最適化できます.
- 教育プログラムと支援構造の強化は 老人介護施設の聴覚医療を改善します
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