社会联系如何帮助患者在住院后留在家里 在家注册:混合方法研究
Christy J W Ledford1, Lauren A Cafferty2, Eunice Lee3
1Medical College of Georgia at Augusta University, Augusta, USA. Christy.ledford@augusta.edu.
Journal of general internal medicine
|May 9, 2024
概括
在家庭医院 (HaH) 计划中,社会联系对于康复至关重要. 在家庭中提供强有力的社会支持有助于患者康复,而有限的支持增加了再接收风险,突出了全面社会病史评估的必要性.
科学领域:
- 提供医疗保健的模式.
- 健康的社会决定因素
- 患者支持系统 患者支持系统
背景情况:
- 家庭医院 (HaH) 计划将护理从住院医院转移到患者的家中.
- 在HaH的患者依靠他们的社交网络获得通常由医院工作人员提供的支持.
- 了解社会联系的作用对于HAH计划的成功至关重要.
研究的目的:
- 在家庭医院计划中调查社会联系和患者结果之间的关联.
- 确定影响患者入学和康复的因素.
- 探索社会支持结构对医疗保健利用率和再接收率的影响.
主要方法:
- 采用了一种解释性的代序列混合方法设计.
- 来自电子健康记录的定量数据 (100名HaH患者) 评估了疾病严重程度和医疗保健利用率.
- 从半结构面试 (33名患者) 获得的定性数据探索了患者的经验和社会支持.
主要成果:
- 由于医院工作人员的注意力不集中,孤独感和家庭鼓励等因素,患者被纳入HaH.
- 家庭环境中的强有力的社会支持在高三期间促进了患者的康复.
- 家庭有限的社会支持与更高的医院再入院的可能性有关.
结论:
- 结构性的社会联系是"在家医院"计划中患者康复的关键促进因素.
- 临床医生应在HH入学前进行全面的社会历史,评估社会角色,责任和技术接受.
- 正规和非正规护理人员的早期参与对于成功的HAH患者支持和康复至关重要.
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