关于认知和记忆的作用的患者-提供者沟通问题:一项描述性研究
Nikki L Hill1, Emily Bratlee-Whitaker2, Heejung Jang3
1Ross and Carol Nese College of Nursing, Penn State University, 201 Nursing Sciences Building, University Park, PA, 16802, USA. nikki.hill@psu.edu.
BMC geriatrics
|May 31, 2023
概括
大多数老年人不会与提供者讨论认知健康问题,即使他们担心. 害怕失去独立性和提供者启动是影响早期检测这些关键对话的关键因素.
科学领域:
- 老年学是指老年学的学科.
- 认知健康 认知健康
- 患者与医疗服务提供者之间的沟通
背景情况:
- 早期识别认知障碍对于促进老龄人口健康至关重要.
- 许多老年人推迟寻求认知问题的帮助,直到独立性受到显著影响.
- 了解患者与医疗服务提供者的认知沟通对于及时干预至关重要.
研究的目的:
- 探索老年人与患者提供者沟通有关认知的经验.
- 为了比较那些有和没有记忆问题的人之间的认知健康讨论的障碍和促进者.
主要方法:
- 一项在线调查对409名65岁以上的人进行了调查.
- 参与者被分为三个组:没有主观记忆衰退 (SMD),没有记忆问题的SMD和记忆问题的SMD.
- 内容分析和后勤回归被用来分析沟通障碍和促进者.
主要成果:
- 只有16.6%的参与者与医疗保健提供者讨论认知;三分之二的人在某些条件下开放讨论.
- 超过一半的人表示他们的提供者从未提供认知测试.
- 患有SMD和记忆问题的参与者更有可能讨论认知,如果由提供者发起,并避免讨论,因为害怕失去独立性.
结论:
- 大多数老年人,包括那些有记忆问题的人,都没有与他们的医疗保健提供者讨论认知.
- 认知沟通的障碍和促进因素因主观记忆衰退状态和记忆问题而异.
- 解决这些沟通差异可以改善早期识别认知变化,有利于监测和干预.
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