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适应和实施多病症老年人混合协作护理干预:ESCAPE试点研究的定量和质量结果
Josefine Schulze1, Dagmar Lühmann1, Jonas Nagel2
1Department of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Behavioral sciences (Basel, Switzerland)
|January 24, 2025
概括
混合协作护理 (BCC) 对心力衰竭和多病症的老年人来说是有前途的. 虽然普遍接受,但改善与初级保健提供者的合作是未来成功的关键.
科学领域:
- 老年医学 老年医学
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多病症在患者护理和医疗保健系统中带来了重大挑战.
- 分碎的护理和不良的提供者协作加剧了这些挑战.
- 混合协作护理 (BCC) 提供了一种策略,通过与初级保健提供者 (PCP) 和专家合作,将护理经理 (CM) 与初级保健提供者 (PCP) 和专家结合起来.
研究的目的:
- 为65岁以上心力衰竭和身心多病症患者适应和试验BCC干预措施.
- 评估研究程序的可行性,患者招募和参与者的满意度.
- 为了确定改善BCC干预交付所需的调整.
主要方法:
- 一个单心,单臂的试点研究涉及9名患者超过三个月.
- 通过CMs.通过标准化电子文档评估目标实现和干预忠实度.
- 通过半结构面试评估患者接受度和满意度.
主要成果:
- 该干预措施被患者普遍接受,没有报告的负面后果.
- 患者的健康目标集中在改变生活方式和心理社会支持上.
- 与PCP建立工作联盟的困难成为实施的障碍.
结论:
- 该BCC试点研究表明,可行性和可接受性在老年人心力衰竭和多病症.
- 为了提供最佳的干预,需要进行微小的程序调整.
- 未来的研究,包括ESCAPE试验,将专注于更广泛的实施和加强PCP参与的战略.
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