对熟练护理机构进行适合环境的心理干预的早期开发:定性研究
Evan Plys1,2, Makenna Law1, Morgan Seward1
1Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, MA, USA.
Aging & mental health
|May 2, 2025
概括
这项研究开发了在熟练护理设施 (SNFs) 中使用加速翻译设计 (DART) 和干预映射 (IM) 框架对抑郁症的心理干预. 调查结果突出了对此类干预措施的需求,并指导了改善居民和护理伙伴福祉的内容.
科学领域:
- 老年学是一门学科.
- 心理学 心理学 心理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 抑郁症是熟练护理机构 (SNF) 护理中的一个重要问题.
- 为SNF居民和护理合作伙伴开发有效,可实施的心理干预措施至关重要.
研究的目的:
- 应用加速翻译设计 (DART) 和干预映射 (IM) 框架,用于在SNF环境中为抑郁症开发心理干预的早期发展.
- 确定居民和护理伙伴的需求以及影响干预设计和实施的背景因素.
主要方法:
- 与SNF工作人员进行了五个重点小组,并与居民和护理合作伙伴进行了个别采访.
- 利用混合感应-演编码方法来分析定性数据,并将主题映射到DART框架中.
- 员工干预映射 (IM) 将定性发现转化为干预组件.
主要成果:
- 证实了在SNF中进行心理干预的需求,对居民和护理合作伙伴有潜在的好处.
- 确定了五个关键主题来告知干预内容:恐惧/担忧,对独立性变化的情感反应,康复动机,出院/护理压力和应对策略.
- 确定了情境敏感的实施方法,包括20-30分钟的会议长度.
结论:
- 该研究成功地应用了DART和IM框架,用于在SNF中开发心理干预.
- 调查结果为创建可行和有效的干预措施提供了基础,这些干预措施适合SNF环境.
- 这种方法有助于在现实世界SNF环境中早期考虑实施和传播.
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