导航一个熟练的护理设施在一起:双重符合条件的患者和护理合作伙伴的双向定性研究
Evan Plys1,2, Morgan Seward1, Makenna Law1
1Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts, USA.
The Gerontologist
|March 4, 2025
概括
在熟练护理设施 (SNFs) 中的双层面临着像自治和决策等共同的压力因素. 了解这些共同的挑战是改善关键的护理合作伙伴和居民在过渡期间的福祉.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 心理学 心理学 心理学
背景情况:
- 分享的压力因素会影响双层关系中的心理痛苦.
- 双重资格 (医疗保险和医疗补助) 居民及其护理伙伴在熟练护理设施 (SNF) 停留期间遇到独特的挑战.
研究的目的:
- 确定SNF居民和护理合作伙伴所经历的共同压力因素.
- 探索二元关系类型如何影响这些压力因素的体验.
主要方法:
- 定性研究涉及与17个二 (34个个体) 进行半结构面试.
- 用于分析二作为单个单元的二框架方法.
- 参与者包括居民及其成年子女,朋友,兄弟姐妹或父母照顾伙伴.
主要成果:
- 出现了四个共同的压力主题:平衡自主和支持,长期护理决策,认知问题和现有关系.
- 在关系类型中,护理角色和压力因素在很大程度上相似.
- 在二类型之间的决策和人际关系动态中注意到了一些差异.
结论:
- 在SNF中,存在与自主,护理环境,护理角色和人际关系相关的共同压力因素.
- 后果包括二次性心理干预,加强护理伙伴培训,改善决策和过渡的支持.
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