在家庭息护理患者中比较不同医疗保健利用轨迹的情境影响:一种定性研究
Sungwon Yoon1,2, Hendra Goh1, Zhi Zheng Yeo3
1Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Palliative & supportive care
|February 1, 2024
概括
情境因素,如症状控制和护理人员的准备程度,会影响家庭息护理患者的医疗保健使用. 了解这些因素可以优化护理并减少住院治疗.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗保健服务研究
- 在瘤学瘤学.
背景情况:
- 接受家庭息护理的患者在生命末期附近表现出各种各样的医疗保健利用模式.
- 影响这些轨迹的情境因素仍未得到充分探索.
研究的目的:
- 为了比较"持续高"与"低稳定"医疗保健利用轨迹的情境影响.
- 确定在家庭息护理患者中医疗保健使用的关键决定因素.
主要方法:
- 定性研究涉及30名丧亲家庭护理人员的深入采访.
- 对面试数据进行主题分析.
主要成果:
- 确定了四个情境因素:感知症状控制,护理人员的心理准备,家庭护理服务范围和非正式支持的可访问性.
- 患者在家中死亡的决心和护理人员的准备对利用轨迹产生了重大影响.
- 患者的症状需求与家庭护理服务之间的调整是关键决定因素.
结论:
- 对终身愿望的全面评估和护理人员心理准备的提高至关重要.
- 建议针对大量使用者和休息护理资金量身定制的干预措施来管理急性医疗保健利用率.
- 调查结果为提供家庭护理服务和针对终末期癌症患者的政策提供了信息.
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