综合照顾多病症老年人的促进者和障碍:描述性的定性研究
Jingjie Wu1, Erxu Xue1, Siyuan Huang2
1Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.
Clinical interventions in aging
|December 5, 2023
概括
在中国实施多种健康状况的老年人综合护理需要解决临床,专业,组织,系统,功能和规范因素. 成功的策略必须促进促进者并克服已识别的障碍,以获得更好的健康结果.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 对多种疾病的老年人进行不协调的护理会导致诸如高治疗负担和医疗费用等不良结果.
- 世界卫生组织倡导以人为中心的综合护理,以促进健康的衰老.
- 中国在为老龄化人口实施有效的综合护理模式方面面临挑战.
研究的目的:
- 确定影响中国成功实施多病症老年人综合护理的关键因素.
- 从医疗保健提供者和管理者的角度探索促进者和障碍.
主要方法:
- 一项涉及中国江省33名医疗保健提供者和管理人员的定性研究.
- 从2022年7月到2023年5月进行的半结构化深度访谈.
- 以综合护理的彩虹模型为指导的感应性主题分析.
主要成果:
- 11个主题出现,分为综合护理的六个维度:临床,专业,组织,系统,功能和规范.
- 促进者包括以患者为中心的护理,跨学科团队,充足的资源,社区参与和电子健康记录.
- 障碍与培训需求,资源可访问性,碎片化系统和缺乏共同愿景有关.
结论:
- 在中国成功实施综合护理取决于解决多层次因素 (微,中,宏).
- 未来的干预和政策应侧重于利用已识别的促进者和减轻障碍.
- 需要采取全面的方法来优化多病症老年人的综合护理.
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