中国中风老年患者参与康复决策的经验和需求:一项定性研究
Zining Guo1,2, Sining Zeng1, Keyu Ling1
1Department of Nursing, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China.
BMC medical informatics and decision making
|November 7, 2024
概括
由于复杂的系统和缺乏支持,中国的老年中风患者在康复的共同决策中遇到了挑战. 需要改善决策支持和持续护理,以提高他们的生活质量.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 健康心理学 心理健康心理学
背景情况:
- 共享决策对于中风康复至关重要.
- 复杂的康复模式造成决策冲突,并降低中风患者的生活质量.
研究的目的:
- 探索老年中国中风患者在康复决策中的经验和需求.
- 为开发有效的中风康复决策支持策略提供基础.
主要方法:
- 定性现象设计. 定性现象设计.
- 31名中国老年中风患者通过有目的的抽样被招募.
- 面对面,半结构化,深度采访,使用感应主题分析进行分析.
主要成果:
- 患者报告了关于共同决策的混合感受.
- 许多障碍阻碍了参与,导致委托代理人.
- 决策疲劳源于康复医疗保健系统缺乏连续性,突出了预期与现实之间的差距.
结论:
- 中国老年中风患者在共同决策方面面临重大障碍.
- 需要加强决策支持系统,持续康复护理和患者支持 (情绪,信息).
- 解决经济压力和促进患者参与对于改善康复结果至关重要.
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