确定患者,护理伙伴和临床医生在患有痴呆症时住院后的功能恢复需求
Allison M Gustavson1, Emily M Hudson2, Jennifer P Wisdom3
1Veterans Affairs Health Services Research and Development, Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA; Veterans Affairs Rehabilitation Research and Development Center for Rehabilitation and Engineering Center for Optimizing Veteran Engagement and Reintegration, Minneapolis Veterans Affairs Health Care System, Minneapolis, MN, USA; Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
患有痴呆症的退伍军人需要更好的家庭治疗后急性护理. 合作规划,一致的后续执行和技术集成是成功过渡到家园的关键.
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
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 住院治疗威胁着痴呆症退伍军人的家庭康复.
- 当前的急性后护理通常是默认的养老院,而不是基于家庭的模型.
- 患有痴呆症的退伍军人需要量身定制的急性后护理,以成功地重新融入家庭.
研究的目的:
- 确定对患有痴呆症的退伍军人的家庭后急性护理模型的需求.
- 为这些模型的实施和适应提供信息.
- 提高退伍军人痴呆症的康复和生活质量.
主要方法:
- 使用半结构面试进行的定性研究.
- 参与者:11名患有痴呆症的退伍军人,13名护理伙伴,23名康复临床医生.
- 以实用,稳健实施和可持续性模型 (PRISM) 为指导的分析.
主要成果:
- 协作决策和规划对于高质量的护理至关重要.
- 有效的后续确保在医院到家庭过渡期间满足需求.
- 包括技术在内的替代护理选择对于优化护理过渡至关重要.
结论:
- 基于家庭的急性后护理模型可以改善以患者和家庭为中心的结果.
- 需要基于证据的模型来提供有效,安全和可行的急性后护理.
- 未来的研究应该集中在这些模型的协作适应和开发上.
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