在家庭初级保健计划中实施与患者优先级一致的护理
Journal of the American Pharmacists Association : JAPhA
|March 7, 2024
概括
在家庭初级保健 (HBPC) 中的患者优先护理 (PPC) 有助于老年人将健康目标与他们的价值观保持一致. 建议包括药物调整和治疗以支持功能和管理健康.
科学领域:
- 老年病的医生 老年病的医生
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人面临着与健康目标一致的护理接入障碍,包括疾病负担和心理社会因素.
- 一个基于家庭的初级保健 (HBPC) 计划利用患者优先护理 (PPC) 方法来解决患者的健康优先事项.
- 将PPC整合到HBPC中可以增强对老年人的以人为中心的护理,支持他们的健康目标.
研究的目的:
- 总结关于将患者护理与健康结果目标相协调的建议.
- 在HBPC环境中评估PPC方法的实施情况.
- 确定患者共同的优先事项,并指导护理调整.
主要方法:
- 在HBPC计划中注册的患者的回顾性图表审查.
- 患者通过PPC对话确定了健康结果目标和护理偏好.
- 目标根据价值观进行分类:连接,管理健康,享受生活和运作.
主要成果:
- 功能是最常见的初级健康结果目标 (66%).
- 管理健康是最常见的二级 (56%) 和三级 (44%) 健康结果目标.
- 建议包括药物调整,开始治疗和停止处方.
结论:
- PPC方法有效地确定了患者的价值观和优先事项.
- 护理与患者确定的目标保持一致,可以提高个性化护理.
- 根据"最重要的事情"量身定制护理可以通过HBPC中的PPC实现.
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