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与社区压力损伤相关的社会经济和环境因素:混合方法研究
Fazila Aloweni1, Nanthakumahrie Gunasegaran1, Siew Hoon Lim1
1Nursing Division, Singapore General Hospital, Singapore.
社区获得的压力损伤 (CAPI) 影响1.1%的急性护理入院,主要是老年人. 照顾者面临的挑战包括财务和身体负担,需要社区支持和教育.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 伤口护理 伤口护理
背景情况:
- 社区获得的压力损伤 (CAPI) 在医疗保健环境中是一个重大挑战.
- 了解CAPI的患病率和相关因素对于有效的患者管理和预防策略至关重要.
研究的目的:
- 确定急性护理入院患者中CAPI的患病率.
- 调查与CAPI相关的社会经济和家庭环境因素.
- 探讨护理人员在家中管理CAPI所面临的挑战.
主要方法:
- 一项混合方法研究,涉及横截面调查和半结构面试.
- 在急性护理医院招募CAPI患者及其护理人员 (2021年3月至2022年6月).
- 分析患病率,社会经济数据,家庭环境因素和护理人员报告的挑战.
主要成果:
- CAPI的流行率为1.1% (1039/97,912次入院).
- 患者年龄较大 (平均年龄84.2岁),大多数是女性. 常见的损伤包括深层组织损伤和无法稳定的压力损伤.
- 护理人员面临的挑战包括财务负担,身体限制以及管理CAPI的个人困难.
结论:
- 在老年急性护理患者中,CAPI很普遍,这凸显了针对性干预的必要性.
- 社会经济因素显著影响CAPI的发生和影响,需要全面的缓解策略.
- 加强社区支持和护理人员的教育对于改善家庭CAPI管理至关重要.
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