在辅助生活居民中,临终关怀的访问和感知临终关怀的质量
Wenhan Guo1,2, Shubing Cai2, Yue Li2
1Department of Social and Public Health, Ohio University College of Health Sciences and Professions, Athens, Ohio, USA.
Journal of the American Geriatrics Society
|May 19, 2025
概括
包括非临床角色在内的更高的临终关怀人员访问量与辅助生活居民更好的终身护理质量有关. 增加参与度提高了患者和家庭的满意度和支持.
科学领域:
- 老年学是一门学科.
- 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:
- 临终关怀服务对于临终关怀生活居民至关重要.
- 人们仍然担心在辅助生活环境中临终关怀的质量和充分性.
研究的目的:
- 调查临终关怀医院工作人员访问频率与辅助生活居民对护理质量的认知之间的关联.
- 区分临床与非临床临床医院工作人员对质量评级的影响.
主要方法:
- 一项队列研究分析了2018-2019年死亡的51,303名辅助生活居民的医疗保险索赔数据.
- 数据与医疗保健提供者和系统 (CAHPS) 消费者评估临终关怀调查进行了联系,以进行质量评估.
- 多变量回归模型检查了工作人员访问 (临床和非临床) 和CAHPS评级之间的关系.
主要成果:
- 临床工作人员访问的增加与改善的情感支持,家庭评分,推意愿和被尊重的感觉相关.
- 非临床工作人员访问显示,与增强的情感支持,推意愿和整体平均分数有更强的关联.
- 该队伍的CAHPS平均评分为80.83.
结论:
- 更高的临终关怀工作人员访问频率与在辅助生活中感知到更好的临终关怀质量有关.
- 政策鼓励更多的宿舍工作人员参与,特别是非临床角色,可以改善终身护理经验.
- 研究结果表明,需要优化人员配置模式,以提高这一群体的护理质量.
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