改善LMIC中严重多发病的老年人以人为中心的护理
Duncan Kwaitana1, Dorothee Van Breevoort, Modai Mnenula
1Department of Family Medicine, School of Medicine and Oral Health, Kamuzu University of Health Sciences, Blantyre. dkwaitana@kuhes.ac.mw.
概括
一项新的沟通技巧培训改善了马拉维严重多病症老年人的以人为中心的息护理. 初级医疗保健工作者发现干预措施是可以接受的,对整体评估有益.
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 医疗服务研究
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 在低收入和中等收入国家,有限的记录干预措施满足严重多病症的老年人以人为中心的需求.
- 初级保健卫生工作者在资源有限的环境中提供大多数护理,并限制了息护理的准入.
研究的目的:
- 为马拉维的初级卫生保健工作者开发和测试沟通技巧培训和指导干预措施的可接受性.
- 解决严重多病症老年患者及其护理人员发现的加强沟通的需要.
主要方法:
- 使用修改名义组技术,利益相关者采访和变化理论研讨会开发的干预.
- 马拉维的12名初级卫生保健工作者 (临床官员和护士) 接受了培训.
- 通过重点小组讨论的主题分析来评估可接受性.
主要成果:
- 该干预基于"问问告诉问问计划"框架,支持以人为中心的沟通.
- 初级卫生保健工作者报告说,整体评估的质量有所提高.
- 实施的挑战包括空间,工作量和药物可用性.
结论:
- "问-问-告诉-问-问-计划"框架有效地支持以人为中心的沟通和整体评估.
- 这种干预提供了一个负担得起的,与当地相关的模型,用于在资源有限的初级卫生保健机构中整合以人为中心的息护理.
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