关键疾病后家庭护理的整合观点:定性内容分析
Amanda C Moale1, Erica M Motter2, Peter Eisenhauer3
1Amanda C. Moale is a pulmonary and critical care medicine fellow, Division of Pulmonary, Allergy, Critical Care and Sleep Medicine, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
严重疾病幸存者的家庭护理人员需要有助于支持,参与护理和教育. 解决健康的社会决定因素对于改善护理人员的结果和福祉至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 医疗服务研究 医疗服务研究
- 定性研究是一种定性研究.
背景情况:
- 目前没有任何干预措施可以最终改善重症幸存者的家庭的结果.
- 了解护理人员的需求对于制定有针对性的干预措施至关重要.
- 一个综合的视角可以确定高优先级的干预目标.
研究的目的:
- 探索不同角度探讨家庭护理人员在危急疾病连续性的需求.
- 确定满足这些需求的障碍和促进者.
- 评估现有干预措施对危急疾病环境的适应性.
主要方法:
- 31个半结构面试和10个重点小组的定性内容分析.
- 涉及家庭护理人员,医疗保健提供者和管理人员.
- 在重症监护室 (ICU) 过渡期间探索需求和相关障碍/促进者.
主要成果:
- 护理人员需要工具性支持,护理规划参与,以及教育/培训.
- 照顾者也强调了自我照顾和心理健康需求.
- 健康的社会决定因素显著影响护理人员的旅程,护理本身是关键的决定因素.
结论:
- 家庭照顾者有工具性,自我照顾和心理健康需求.
- 干预措施应包括适应ICU后环境的实践技能培训.
- 调整干预措施以适应护理人员与健康相关的社会背景,对于改善结果至关重要.
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