在息护理入学期间被安置:识别驱动因素,威因素和未来护理方向
Ian M Johnson1, Rachel Doran1, Nora Sullivan2
1Department of Social Work, University of Texas at San Antonio, San Antonio, TX 78249, USA.
概括
为重病的无家可归患者提供住房是一项挑战. 这项研究发现,综合医疗和社会支持,以及内部动机,在息护理期间显著帮助住房安置.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 健康的社会决定因素
- 住房政策 住房政策
背景情况:
- 无家可归会加剧疾病的进展,并使重病患者难以获得住房.
- 有限的研究解决了无家可归的息护理患者的成功住房策略.
- 了解影响住房的因素对于改善这一群体的终身护理至关重要.
研究的目的:
- 检查影响严重疾病的无家可归的息护理患者住房安置的因素.
- 确定成功的战略,为生命末期的弱势患者提供住房.
- 为严重疾病的无家可归患者提供综合护理模式的开发提供信息.
主要方法:
- 在入学期间获得住房的息护理患者的医疗记录的反射主题分析 (n=16).
- 定性数据分析,以确定与住房安置相关的新兴主题.
- 探索患者的旅程,社会支持和内部变化.
主要成果:
- 大多数患者 (n=16) 在参与息治疗后的7个月内获得住房.
- 关键主题包括与疾病进展相关的安置时间和护理目标.
- 社会支持网络在获得住房方面发挥了不同但重要的作用.
- 疾病和死亡过程推动了内部动机,身份和接受的变化.
结论:
- 综合医疗和社会支持对于成功的住房安置至关重要.
- 需要扩大适合重病患者需求的住房选择.
- 适应性心理社会精神护理在住房连续性内对于这个人群至关重要.
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