息家庭护理的系统优势和需求:探索复杂性的复杂性
X Busquet-Duran1, B Mateu-Carralero2, J Bielsa-Pascual3
1Programa d'Atenció Domiciliària Equip de Suport (PADES), Servei d'Atenció Primària Vallès Oriental, Institut Català de la Salut, Barcelona, Spain; Unitat de Suport a la Recerca Metropolitana Nord (USR-MN), Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain; Grupo de Investigacion Multidisciplinar en Salud y Sociedad GREMSAS, Barcelona, Spain.
Revista clinica espanola
|December 15, 2023
概括
系统性优势,包括团队和护理人员的支持,显著影响临终患者在家中死亡的情况. 系统性方法对于改善家庭息护理至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年学是一门学科.
- 社会学 社会学 社会学
背景情况:
- 对生命末期患者的家庭护理提出了复杂的挑战.
- 了解影响死亡地点的因素对于优质的息护理至关重要.
研究的目的:
- 研究系统优势与终身家庭护理复杂性之间的关系.
- 确定不同系统级别 (外系统,微系统,时间系统) 如何影响患者的治疗结果.
主要方法:
- 这是一项涉及4600名家庭护理患者的量化描述性纵向研究.
- 使用HexCom模型评估复杂性;分析死亡地点.
- 皮尔森的千平方测试用于统计分析.
主要成果:
- 59.7%的患者在家中死亡,53%的患者有严重的功能依赖.
- 外系系统 (团队) 的强度 (OR:4.07) 和护理人员的强度 (OR:3.90) 对家庭死亡产生了积极的影响.
- 患者 (微系统) 强度 (OR:0.51) 和时间系统 (OR:2.22) 也显示出显著的关联.
结论:
- 考虑患者和护理人员的优势的系统视角对于有效的终身家庭护理至关重要.
- 布朗芬布伦纳的系统框架可以指导临床实践在息护理.
- 识别和利用系统优势可以改善在家护理和支持临终病人.
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