接受手术的老年人 (POPS) 护理模式的术后医学的核心元素
Margot E Lodge1,2,3, Jugdeep Dhesi4,5, David J H Shipway6,7
1National Centre for Healthy Ageing, Melbourne, Australia.
European geriatric medicine
|December 9, 2024
概括
实施老年人接受手术 (POPS) 模式的外科手术改善了外科手术的结果. 一个逻辑模型确定了可适应当地环境的POPS核心元素,有助于更广泛地实施增强老年护理.
科学领域:
- 老年医学 老年医学
- 手术护理 手术护理
- 医疗保健管理的管理
背景情况:
- 老年人接受手术的外科手术 (POPS) 模型提高了老年患者的外科手术结果.
- 实施像POPS这样复杂的护理模型需要了解其核心组件.
- 逻辑模型在视觉上表示理论关系,帮助实现.
研究的目的:
- 识别和理解POPS护理模式在不同医疗保健环境中的基本要素,超出其最初的开发地点.
主要方法:
- 在三个不同的POPS实施成熟度的英国卫生服务中采用了定性案例研究方法.
- 与参与POPS的56名临床医生和管理人员进行了半结构化访谈.
- 数据分析使用了归纳和演方法.
主要成果:
- 开发了一个由七个领域组成的逻辑模型,概述了POPS模型在研究的卫生服务中的核心元素.
- 该POPS模型证明了适应当地环境的适应性,同时保持了预期的结果.
- 成功的适应需要遵守由熟练的工作人员提供的综合老年病评估和优化原则.
结论:
- 开发的逻辑模型为POPS服务的核心元素提供了潜在的概括性见解.
- 这些信息可以促进在类似的医疗保健环境中实施POPS模型.
- 建议进行进一步的研究,以在不同的医疗保健环境中验证逻辑模型.
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