息护理选择的悖论 - - 管理长期护理中的决策:一种定性研究
Jiyoun Song1, Lynette Ramlogan2, Sasha Vergez2
1University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Home health care management & practice
|April 9, 2025
概括
在长期护理中,息治疗的接受率很低. 影响决策的关键因素包括自我管理,症状严重程度和护理人员负担,以及信任和合作等沟通策略.
科学领域:
- 老年病的医生 老年病的医生
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 息护理在长期护理环境中显著有利于多种慢性疾病的老年患者.
- 尽管有其优势,但只有约14%的符合条件的患者接受息治疗.
- 了解决策因素和沟通策略对于改善访问至关重要.
研究的目的:
- 调查影响患者和管理长期护理的家庭护理人员接受息护理的因素.
- 识别医疗保健提供者患者和护理人员所感知的沟通策略.
- 加强决策和接受息护理服务.
主要方法:
- 89次对话的定性主题内容分析 (79次回顾性电话,10次前性采访).
- 从美国东北部的家庭和社区医疗保健组织收集的数据.
- 分析重点是决策主题和沟通策略.
主要成果:
- 在息护理决策中出现了七个主题:自我管理能力,症状严重程度,疾病感知,对当前服务的满意度,代码状态,护理人员负担和财务/附属原因.
- 确定了四个关键的沟通主题:信任/关系动态,积极强化/个人联系,对话设置/发起者以及协作护理协调.
- 患者和护理人员的决策受到临床,个人和后勤因素的复杂相互作用的影响.
结论:
- 改善息护理接受度需要个性化护理计划,同情的沟通和包括症状在内的评估.
- 积极解决护理人员负担对于加强决策和服务采用至关重要.
- 有效的沟通策略,包括建立信任和促进合作,对于成功的息护理整合至关重要.
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