当家成为医院治疗的场所:亲属经历的定性研究
Kiki Bjørnholdt Bertelsen1, Mia Ingerslev Loft2,3
1Department of Emergency, North Zealand Hospital, Hillerød, Denmark.
Journal of advanced nursing
|April 8, 2025
概括
尽管面临挑战,成年亲属更喜欢在家医院 (HaH) 的护理. 让亲属参与决策和提供支持对于成功实施HAH和改善患者结果至关重要.
科学领域:
- 医疗保健管理的管理
- 患者护理 患者护理
- 家庭照顾 家庭照顾
背景情况:
- 由于医院拥挤和对个性化护理的需求,家庭医院 (HaH) 护理正在扩大.
- 虽然HaH对患者有好处,但对同居亲属的影响,他们经常成为照顾者,研究不足.
- 亲属可能会面临不准备和缺乏支持在他们的护理角色.
研究的目的:
- 探索与在家医院 (HaH) 护理的患者同居的成年亲属的经验.
- 了解 HaH 环境中亲属所感知的挑战和好处.
- 确定改善亲属在高水平护理中的支持和参与的领域.
主要方法:
- 使用半结构面试的定性诱导方法.
- 在2023年3月至2024年4月期间,采访了10名HAH患者的同居亲属.
- 使用诱导性的定性内容分析来确定关键主题.
主要成果:
- 亲属报告说,他们有不同的感受,他们欣赏与亲人的亲近和日常生活,但对照顾者的要求感到压倒.
- 担忧包括缺乏参与治疗决策,沟通不足,以及管理实际/情感护理方面的问题.
- 尽管面临挑战,但亲属更喜欢HaH而不是住院治疗,因为更少的干扰和感知到患者福祉的改善.
结论:
- 亲属更喜欢在家医院 (HaH) 护理,而不是传统的住院治疗,尽管负担增加.
- 亲属积极参与决策和提供足够的支持对于有效的护理至关重要.
- 解决亲属的经历可以提高HAH的成功,减少医疗保健系统的压力,并改善患者的结果.
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