易受伤害的老年人对主动护理计划的看法:初级保健中的定性访谈研究
Lisa Kastbom1,2, Anna Olaison3, Annette Sverker4,5,6
1Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden lisa.kastbom@liu.se.
BJGP open
|October 2, 2024
概括
老年患者对主动的护理规划,平衡自主权与生命末期的担忧表现出不同的感受. 有效的沟通和患者参与是初级保健中成功护理协议的关键.
科学领域:
- 老年学是指老年学的学科.
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老年人往往由于多病症和多药性而存在复杂的护理需求.
- 这项研究是瑞典干预试验"为老年人提供安全和专注的初级保健 (SAFE) "的一部分.
- SAFE试验利用了更短的护理协议,专注于以人为中心的患者目标.
研究的目的:
- 探索老年和弱势患者对初级保健中主动护理规划的看法.
- 根据以人为中心的目标,调查患者在建立和记录护理协议方面的观点.
主要方法:
- 涉及个人半结构面试的定性研究.
- 75岁以上的25名患者从瑞典的12个初级医疗保健中心参加了这项研究.
- 潜在的定性内容分析被用来分析采访数据.
主要成果:
- 出现了三个主要类别:"我想活在当下,那么为什么要提前计划呢? ","让我决定与他们知道最好",和"护理协议通常没有被注意到.
- 确定了"第四个年龄段的护理规划的矛盾"的一个潜在主题.
- 患者表示,他们希望更多地参与护理规划.
结论:
- 老年,脆弱的个体对主动的护理计划表现出不同的态度,反映出自主和生命结束讨论之间的紧张关系.
- 护理协议具有患者参与的潜力,但经常被忽视;对话方面被认为是必不可少的.
- 尊重患者的自主权和促进积极参与对于有效的护理规划至关重要.
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