医院老年医生和全科医生与难以治疗多种疾病的老年人相关的背景因素:一个跨部分调查
Takuma Kimura1, Shinji Matsumura2, Masayoshi Hashimoto1
1Department of R&D Innovation for Home Care Medicine, Department of General Medicine, Institute of Science Tokyo.
The Tohoku journal of experimental medicine
|June 19, 2024
概括
在医院治疗多种健康状况的老年人对日本医生来说是一项挑战. 困难的患者背景,复杂的疾病,以及缺乏指导方针的强调,显著增加了治疗难度.
科学领域:
- 老年病的医生 老年病的医生
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 在急性医院环境中管理多病症的老年患者对医疗保健提供者来说存在重大挑战.
- 日本的老年医生和全科医生报告说,在为这种复杂的患者群体提供最佳护理方面存在困难.
- 了解导致治疗困难的患者特征对于改善护理至关重要.
研究的目的:
- 确定与患者相关的因素,使日本医院的多病症老年人治疗复杂化.
- 分析医院老年医生和全科医生对治疗挑战的看法.
- 为加强医疗保健支持系统的战略提供信息,以管理复杂的老年患者.
主要方法:
- 一项匿名问卷调查分发给了日本3300名家庭医学,初级保健和老年医学专家.
- 一个四点的利克特等级评估了与疾病,患者背景,临床因素和策略有关的困难.
- 用后勤回归分析来确定与490名参与者的治疗困难相关的因素.
主要成果:
- 医生经验 (调整后几率比率[AOR]:0.935) 与治疗难度降低有关.
- 疾病管理中的困难 (AOR: 1.028) 和患者背景 (AOR: 1.065) 显著增加了对治疗的感知挑战.
- 缺乏强调一般实践指南与治疗困难有很强的相关性 (AOR: 2.91).
结论:
- 患者的特征,特别是复杂的疾病和背景,是影响老年人多病症治疗困难的关键因素.
- 加强医生教育,培训和支持系统对于改善医疗保健提供至关重要.
- 根据医生所发现的挑战来定制医疗保健策略,可以提高急性病情中的老年患者的管理.
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