在无家可归期间经历严重疾病的个体的途径:来自RASCAL-UP研究的探索性4点类型学
Ian M Johnson1, Michael A Light2
1University of Tennessee College of Social Work, Knoxville, Tennessee, USA.
Journal of social work in end-of-life & palliative care
|June 18, 2023
概括
经历无家可归和严重疾病的老年人面临护理方面的障碍. 这项研究确定了四种护理途径,突出了为改善对这一弱势群体的支持提供量身定制干预措施的需要.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 无家可归人口中年龄人口的变化揭示了严重疾病服务的差距.
- 现有的无家可归响应和医疗保健系统难以满足无家可归的重病患者的需求.
研究的目的:
- 描述无家可归和严重疾病同时发生的患者的共同护理轨迹.
- 为这一群体引入护理途径的类型学.
主要方法:
- 来自无家可归者专门的息护理计划的患者病历 (n=75) 的专题混合方法分析.
- 利用了来自"无家可归者晚年研究,行动和支持性护理" (RASCAL-UP) 研究的数据.
主要成果:
- 确定了护理途径的四点类型:老龄化/现场死亡,频繁的过渡,医疗机构作为住房,住房作为缓解.
- 揭示了老年,慢性病患者无家可归者的经验和需求的异质性.
结论:
- 识别的类型学可以为目标一致的护理提供有针对性的干预措施.
- 强调决策者和研究人员需要认识到无家可归人口面临严重疾病的多样化需求.
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