确定COPD老年人的优先挑战:一个多阶段干预改进研究
Anand S Iyer1,2,3,4,5, Rachel D Wells3,4, Avery C Bechthold4
1Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Journal of the American Geriatrics Society
|August 31, 2024
概括
患有慢性阻塞性肺病 (COPD) 的老年人面临着影响独立性的挑战. 干预措施必须优先考虑功能状态,流动性和补充氧气需求,并纳入各种利益相关者的观点,以获得有效的护理.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响老年人的福祉和独立性.
- 确定优先挑战对于制定有效干预措施至关重要.
研究的目的:
- 优先考虑COPD老年人和他们的护理人员所面临的挑战.
- 引导对电话护士教练干预 (赋予人们COPD的独立性 - EPIC) 的改进.
主要方法:
- 使用名义组技术 (NGT),快速定性分析和干预映射的多阶段研究.
- 参与者包括患有COPD的老年人,家庭护理人员,诊所工作人员,临床医生和卫生系统领导人.
- 在Baltes成功衰老理论和5Ms框架的指导下.
主要成果:
- 五个选区组的37名参与者产生了92份声明,分为五个主题.
- 关键主题:护理障碍,家庭护理人员需求,功能状态/流动性,疾病理解和COPD护理复杂性.
- 患者和工作人员优先考虑功能状态/流动性;护理人员优先考虑护理需求;临床医生/领导者优先考虑护理复杂性. 补充氧气的挑战至关重要.
结论:
- 不同的小组确定了COPD老年人面临的不同优先挑战.
- 功能状态,移动性和补充氧气需求是患者优先考虑的关键挑战.
- 以患者为中心的干预措施需要整合多样化的观点,并解决优先考虑的需求.
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