家庭护理客户的护理需求和自给自足评估
Zain Pasat1, Bastiaan Van Grootven2, Eline Kooijmans3
1Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada; Centre for Integrated Care, St. Joseph's Health System, Hamilton, Ontario, Canada.
Journal of the American Medical Directors Association
|March 28, 2025
概括
评估人员对家庭护理客户自给自足程度下降的判断与客观健康状况变化有很强的相关性. 这证实了主观临床医生对调整老年人护理计划的见解.
科学领域:
- 老年学是一门学科.
- 医疗保健研究 医疗保健研究
- 临床评估 临床评估
背景情况:
- 评估在家庭护理中不断变化的护理需求是复杂的,因为多病症和老年综合征,如虚弱和认知障碍.
- 家庭护理客户经常出现异质的健康状况,使准确的需求评估变得复杂.
研究的目的:
- 确定主观评估者对自给自足变化的判断与客观测量家庭护理客户健康状况之间的相关性.
- 评估主观临床医生评估的有效性,以反映实际的健康变化.
主要方法:
- 在加拿大安大略省65岁以上的70,369名家庭护理客户进行了回顾性队列研究,使用了两次interRAI家庭护理评估 (2021年7月至2023年12月) 的数据.
- 评估者判断的自给力变化与功能,护理需求,认知,健康不稳定性和疼痛的测量变化进行了比较,使用经过验证的尺度.
- 使用应急表和匹配对等级-双序列相关性来分析关联和效果大小.
主要成果:
- 超过50%的客户被评估者认为在90天内自给自足程度下降.
- 评估人员判断的自给自足变化与个人支持需求,健康不稳定性和日常生活活动的表现有显著的相关性.
- 与疼痛和认知相关的关联较弱,改善的自给自足只显示出与改善的认知之间较弱的联系.
结论:
- 主观评估者对自给力变化的判断与健康状况和护理要求的客观变化有很强的相关性.
- 临床医生对健康变化的主观总结是有效的,并且对于在家庭护理环境中对护理计划的修改提供信息是有用的.
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