临床医生对COVID-19期间妄预防修改的医院老年人生活计划的看法
Dena J Schulman-Green1, Sharon K Inouye2, Patricia Tabloski3
1New York University Rory Meyers College of Nursing, New York, NY, USA.
概括
修改后的医院老年人生活计划 (HELP-ME) 在COVID-19期间成功实施. 临床医生推一种混合模式,将远程和亲自护理结合起来,以在老年人中实现最佳的妄想预防.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 传染病流行病学 传染病流行病学
背景情况:
- 痴呆症是住院老年人的常见并发症,增加了发病率和死亡率.
- 医院老年人生活计划 (HELP) 是一个经过验证的妄想预防策略.
- 调整医疗保健干预措施以应对COVID-19等流行病状况,对于持续的患者护理至关重要.
研究的目的:
- 探索跨学科临床医生对在COVID-19限制下实施修改后的HELP-ME计划的看法.
- 为了确定HELP-ME在流行病环境中实施的促进者和障碍.
- 为未来的HELP-ME程序的开发和测试提供信息.
主要方法:
- 在美国四个试点站点与HELP-ME工作人员进行了一项定性描述性研究.
- 五个1小时的视频聚焦小组举行,每个小组有5-16名参与者.
- 使用定向内容分析来分析转录的焦点组数据.
主要成果:
- 临床医生确定了与一般实施,技术和特定协议相关的积极和具有挑战性的方面.
- 关键主题包括需要协议定制和标准化,增加志愿者人员和改善数字家庭访问.
- 远程交付可行性的差异和偏好混合程序模型被注意到.
结论:
- 人们认为HELP-ME计划已经成功实施,但由于远程交付的限制,需要进行必要的修改.
- 混合模式,结合远程和面对面的元素,成为未来妄预防工作的首选方法.
- 需要进一步改进,以优化HELP-ME计划,以适应各种医疗环境和流行病状况.
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