临床医生对患有严重精神疾病的老年人的息护理的观点:一个多站点的定性研究
Daniel Shalev1, Maureen Ekwebelem2, Lilla Brody3
1Division of Geriatrics and Palliative Medicine (D.S., M.E., L.B., K.S., C.R., M.C.R.), Weill Cornell Medicine, New York, NY; Department of Psychiatry (D.S., S.B.), Weill Cornell Medicine, New York, NY.
概括
目前的息护理模式失败了严重精神疾病 (SMI) 的老年人. 综合精神病和严重疾病护理,以及加强培训,对于改善对这一群体的护理至关重要.
科学领域:
- 老年精神病学是一门精神病学专业.
- 抚慰性护理是一种缓解性护理.
- 严重的精神疾病 (SMI)
背景情况:
- 患有SMI的老年人面临着严重医疗疾病的重大负担.
- 在事先的护理规划,症状管理和护理人员对这一人口群的支持方面存在差异.
研究的目的:
- 探索跨学科的临床医生对息护理需求的观点.
- 识别SMI和严重医疗疾病的老年人护理的挑战和机会.
主要方法:
- 使用主题分析进行定性研究.
- 与45位跨学科的临床医生进行了半结构化采访.
- 四个城市医院的息护理,老年病学和老年精神病学的临床医生.
主要成果:
- 息治疗模式对于SMI患者来说是不够的.
- 临床医生希望照顾这群人群,但需要更多的培训和跨学科的合作.
- 精神病和息护理服务的结构整合是必要的.
结论:
- 现有的息护理模式不能满足SMI的老年人的需求.
- 综合精神病和严重疾病护理模式和加强培训至关重要.
- 通过综合护理和劳动力发展,可以获得更好的结果.
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