在队列隔离期间以人为中心的护理为COVID-19患者的经验:混合方法研究
Vera P Van Druten1,2, Andrea D Rozema1, Tessel H G Hendriksen3,2
1Tranzo Scientific Center for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, NLD.
COVID-19患者报告说,在疫情期间,他们对以人为中心的护理有了积极的体验. 然而,隔离预防措施影响了福祉,突出了改善社会接触和医疗保健工作者认可的需求.
科学领域:
- 医疗保健管理的管理
- 患者体验 患者体验
- 传染病护理 传染病护理
背景情况:
- COVID-19 流行病在医疗保健提供中创造了前所未有的挑战.
- 隔离预防措施可能影响了护理质量和患者福祉.
- 了解患者在此期间的经历对于改善未来护理至关重要.
研究的目的:
- 探索COVID-19患者对以人为中心的护理和福祉的经验.
- 评估第一波流行病的急性和半急性阶段之间的经验差异.
- 确定影响隔离患者健康的因素.
主要方法:
- 采用了一个融合的并行混合方法设计.
- 使用了患者报告经验测量 (PREM) 问卷 (n=134) 和半结构面试 (n=30).
- 进行了主题分析,并与以人为中心的护理框架联系起来.
主要成果:
- 患者报告了对护理的高整体满意度,在急性阶段的共享决策得分较低.
- 采访显示,人们对以人为中心的护理有积极的经验,但对共享决策的感知需求有限.
- 隔离预防措施对幸福感产生了负面影响,导致孤独和减少身体接触,尽管凝聚促进了参与.
结论:
- 尽管存在流行病压力,但COVID-19患者通常会积极地体验护理,并适应情况.
- 患者的福祉受到隔离的显著影响,需要改进.
- 建议包括提高医疗保健工作者的可识别性,促进家庭访问,并重新考虑单间隔离.
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