低收入社区的关键预先护理规划干预特征:一种定性研究
Christine C Kimpel1, Erica Frechman2, Lorely Chavez1
1Vanderbilt University School of Nursing (C.C.K., L.C.), Nashville, Tennessee, USA.
Journal of pain and symptom management
|September 26, 2024
概括
具有低社会经济地位 (SES) 的老年人希望预先计划护理 (ACP) 干预,重点是值得信赖的专家宣传和个性化沟通. 社区的贡献对于为服务不足的人口开发相关和有意义的非洲和非洲国家支持至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生沟通健康沟通
背景情况:
- 具有较低社会经济地位 (SES) 的老年人表现出较低的预先护理计划 (ACP) 参与率.
- 社区反对于将干预措施定制为社会和卫生资源有限的人群至关重要,确保相关性和意义.
研究的目的:
- 探索参与者优先考虑的预先护理规划 (ACP) 干预措施在低收入老年人中的发展.
- 为缺乏服务的社区提供文化敏感和有效的ACP干预措施的设计提供信息.
主要方法:
- 定性描述性研究,涉及20名低收入老年人 (50岁以上) 的半结构面试.
- 用于通过传单和面对面的方法招聘的有目的和雪球采样.
- 使用两个独立编码器进行主题分析,并对代码进行感应分类.
主要成果:
- 两个主要主题出现了:专家倡导/可靠性和以人为中心的沟通.
- 参与者优先考虑与个人目标相一致的ACP沟通,并由可信赖的倡导者领导.
结论:
- 干预偏好是由过去的健康和社会服务经验所塑造的.
- 建议采用适应的社区研究合作模式,以增强非洲和非洲国家 (ACP) 的公平.
- 建议对实践和政策提出建议,以改善非洲和非洲国家和地区的可访问性.
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