在COVID-19大流行初期,在住院养老院死亡:一种定性面试研究
Nancy Preston1, Zoë Cockshott2, Siân Russell3
1International Observatory on End of Life Care, Faculty of Health and Medicine, Lancaster University, Lancaster, UK. n.j.preston@lancaster.ac.uk.
BMC geriatrics
|February 24, 2025
概括
在COVID-19期间,护理中心工作人员和家属在终身护理方面面临着极端的挑战. 对家庭访问的限制和高死亡率造成了痛苦,可能会影响长期的丧亲和道德伤害.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- COVID-19大流行严重影响了养老院,导致居民死亡率增加,外部支持受到限制.
- 家庭对垂死居民的接触往往是有限的,影响了终身护理体验.
研究的目的:
- 探索COVID-19大流行第一年在养老院的死亡,死亡和终身护理的经历.
- 了解养老院工作人员,住户和家庭所面临的挑战.
主要方法:
- 与16名养老院工作人员,3名住院人员,5名家庭成员和10名卫生服务人员进行了半结构化采访.
- 使用反射主题分析来分析采访数据,重点关注死亡和死亡的经历.
主要成果:
- 养老院工作人员认为他们没有为大规模死亡做好准备,并且对紧急护理计划感到不安.
- 在末期阶段限制家庭访问对家庭和工作人员造成了痛苦.
- 在COVID-19爆发期间的高死亡率使工作人员陷入困境,家庭分离导致遗憾和道德困境.
结论:
- 在COVID-19疫情初期,在养老院的终身护理非常具有挑战性.
- 严格的访问政策和由此产生的痛苦可能会对丧亲经历产生负面影响.
- 监测长期后果,如持续的悲伤和道德伤害至关重要.
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