老年人在急诊室设置中的护理目标:以4M框架为指导的定性研究
Melissa Sheber1, Mackenzie McKnight1, Daniel Liebzeit2
1Department of Emergency Medicine University of Iowa Carver College of Medicine Iowa City Iowa USA.
概括
在急诊室 (ED) 的老年人优先考虑问题解决,护理的连续性和回家. 他们面临着药物,移动和思维方面的挑战,突出了以患者为中心的护理的需要.
科学领域:
- 老年病的医生 老年病的医生
- 紧急医疗 紧急医疗
- 以患者为中心的护理
背景情况:
- 60岁以上的老年人到急诊室 (ED) 有独特的需求.
- 4M框架 (重要的是什么,药物,流动性,心理治疗) 可能会改善对这一群体的护理.
- 确定患者的优先事项和挑战对于有效的ED护理至关重要.
研究的目的:
- 确定ED中对老年人最重要的是什么.
- 了解与老年ED患者的药物,移动性和思维相关的挑战.
- 在ED环境中为4M框架的应用提供信息.
主要方法:
- 使用半结构面试对20名老年成人ED患者进行定性研究.
- 采访以4M框架为指导,以探索患者的优先事项和挑战.
- 采访数据和现场笔记的诱导编码和主题分析.
主要成果:
- 患者的主要优先事项包括以问题为导向的期望,护理协调,保持参与,家庭的存在和回家.
- 药物挑战包括不服药,副作用,多药和知识差距.
- 移动性挑战涉及身体活动和保持独立性.
- 冥想挑战包括记忆问题,抑郁情绪,压力和担忧.
结论:
- 4M框架有效地捕捉了ED中老年人所关心的事情以及他们面临的具体挑战.
- 了解患者的优先事项和挑战对于定制以患者为中心的护理至关重要.
- 这种方法可以改善老年人的护理目标讨论和护理过渡.
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