"我们有什么选择?" 反应和积极的决策对于老龄化在痴呆症的地方
Catherine L Auriemma1,2,3, Maayra I Butt1, Julia McMillan1
1Palliative and Advanced Illness Research (PAIR) Center, University of Pennsylvania in Philadelphia, Philadelphia, Pennsylvania, USA.
Journal of the American Geriatrics Society
|August 14, 2024
概括
对于患有痴呆症的人来说,关于老龄化的决定是复杂的,受到独立欲望,护理质量的认知和护理人员的内的影响,通常是反应性的,而不是主动性的.
科学领域:
- 老年学是一门学科.
- 痴呆症护理 痴呆症护理 痴呆症护理
- 医疗保健决策 - - 医疗保健决策
背景情况:
- 现场老龄化 (AIP) 是痴呆症患者 (PWD) 的一个受欢迎的选择,但它的好处和负担各不相同.
- 了解影响PWD护理设置决策的因素对于有效的政策和实践至关重要.
研究的目的:
- 探索影响PWD及其家属关于在现场老龄化与住宅护理的决策过程的因素.
主要方法:
- 使用半结构面试与PWD,家庭护理合作伙伴和痴呆症临床医生进行定性研究.
- 分析涉及定性内容分析与不断比较.
主要成果:
- 对AIP的偏好是由独立的愿望,在家里感觉到更好的护理,对设施的不信任和护理人员的内所驱动的.
- 搬家的决定往往是反应性的,由安全事件,依赖或护理人员丧失引发.
- 积极的决定与先前的护理经验和家庭适应或更高质量的护理的财政资源有关.
结论:
- 对于PWD的护理设置决策通常是在胁迫和不完美的条件下做出的,而不是真正的选择.
- 计划应承认影响这些决定的以患者为中心和非患者为中心的因素.
- 需要采取干预措施,以支持对痴呆症护理机构的更知情和公平的决策.
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