实施英国养老院老年人抑郁症的决定因素:一个定性面试研究
Krystal Warmoth1,2, Jessica Rees3, Jo Day4,5
1Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK k.warmoth@herts.ac.uk.
BMJ open
|November 23, 2023
概括
在养老院实施抑郁症处方是复杂的. 强大的关系和医疗保健专业人员的支持是成功的药物审查和老年人处方停止的关键因素.
科学领域:
- 老年学是一门学科.
- 药理学 药理学是指药理学的学科.
- 医疗保健管理的管理
背景情况:
- 降低处方的目的是减少老年人的药物负担.
- 养老院对药物管理和减药提出了独特的挑战.
- 了解实施障碍和促进者对于有效的实践至关重要.
研究的目的:
- 探索影响老年人养老院抑郁症处方实践的因素.
- 确定在这种环境中实施抑郁症的促进者和障碍.
主要方法:
- 使用半结构面试进行的定性研究.
- 基于实施研究综合框架 (CFIR) 的框架分析.
- 参与了英格兰15个养老院的养老院工作人员,居民,家庭成员和全科医生.
主要成果:
- 描述是一个复杂的过程,受到内部和外部上下文因素的影响.
- 利益相关者之间的信念,能力和关系显著影响抑郁症.
- 当地的关系质量和医疗保健专业人员的支持比组织结构更为关键.
结论:
- 社会和环境因素对于在养老院成功治疗抑郁症至关重要.
- 需要加强培训,工具和支持,以使养老院工作人员能够自信地讨论药物.
- 进一步的研究应侧重于开发和采用适合养老院环境的抑郁症描述方法.
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