绝症老年人使用家庭临终关怀的相关因素:一种混合方法研究
Jie Peng1, Xiaoling Feng1, Xiaoying Cao1
1The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Frontiers in public health
|July 3, 2025
概括
老年人对家庭临终关怀的低利用率与高需求和家庭内有关. 高龄,慢性疾病和感知到的经济负担促进了使用,强调了针对性干预的必要性.
科学领域:
- 老年学是指老年学的学科.
- 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:
- 在老年人中,高意愿和低利用宿舍护理服务之间存在差异.
- 了解影响住院护理利用的因素对于改善服务至关重要.
研究的目的:
- 确定影响中国老年人使用家庭临终关怀服务的因素.
- 为旨在增加宿舍护理接受率的干预提供基础.
主要方法:
- 进行了一项融合的并行混合方法研究.
- 定量阶段:对中国广西的332名绝症老年人进行调查.
- 定性阶段:与16名绝症老年人进行半结构面试.
主要成果:
- 只有13.55%的参与者接受了家庭临终关怀.
- 障碍包括高生理,心理,精神需求和家庭内.
- 促进者包括老年 (≥80岁),慢性疾病,不需要照顾者,高社会需求/知识,以及经济负担.
结论:
- 老年人使用家庭临终关怀的比例较低,受主观和客观因素的影响.
- 家庭内成为一个新的障碍,需要进行处理情感和心理方面的干预.
- 政策制定应考虑文化敏感性和促进家庭临终关怀的经济可行性.
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