探索老年人的经历和与30天医院再入院相关的因素:使用解释性现象学分析进行定性研究
Fanis Stavrou1,2, Jo Adams1, Harnish P Patel3,4
1Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
International journal of older people nursing
|November 2, 2024
概括
年长的成年人在住院再诊期间感到不被倾听,经历了分散的护理. 改善患者参与和综合卫生服务对于康复和预防再入院至关重要.
科学领域:
- 老年学是一门学科.
- 医疗保健管理的管理
- 患者体验研究 研究研究
背景情况:
- 住院再接收会对老年人和医疗保健系统产生负面影响.
- 现有的再入院研究主要使用横截面数据,仅限于对患者体验的关注.
- 了解患者的优先事项对于改善护理质量和减少再入院至关重要.
研究的目的:
- 探索接受医院再入院的老年人的经历.
- 确定影响老年患者再入院旅程的关键因素.
- 为加强以患者为中心的护理和支持制定战略提供信息.
主要方法:
- 半结构性定性访谈对10名65岁以上的参与者进行了半结构性定性访谈.
- 参与者在30天内经历了计划外的医院再入院.
- 解释性现象学分析 (IPA) 用于分析采访数据.
主要成果:
- 四个主要主题出现了:"所有关于我而不是我","分片和特设的解雇后支持","我的再接收经验和导致我回来的原因",以及"与人们需求分离的分离卫生和社会服务".
- 参与者报告说,他们觉得自己被排除在关于他们护理的决定之外.
- 不一致和不充分的免责后支持是一个重大问题.
结论:
- 建议增加患者参与护理决策.
- 卫生专业人员应该更好地了解患者的背景和支持系统.
- 加强沟通和加强护理连续性对于康复和再接收预防至关重要.
- 共享决策和以患者为中心的护理对于改善护理质量,保持独立性和重视老年人至关重要.
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