支持在家接受息和终身护理的患者在家死亡的因素:一个连续的混合方法解释性研究
Kelley Kilpatrick1,2, Émilie Allard3,4, Mira Jabbour5
1Susan E. French Chair in Nursing Research and Innovative Practice, Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada. kelley.kilpatrick@mcgill.ca.
BMC palliative care
|July 12, 2025
概括
获得缓解护理和及时的家庭服务显著增加了接受息和终身护理 (PEoLC) 的患者在家中死亡的可能性. 这些支持对于尊重患者在家进行终身护理的愿望至关重要.
科学领域:
- 息护理研究 息护理研究
- 医疗服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 在支持希望在家中死亡的接受息和终身护理 (PEoLC) 的患者方面存在知识差距.
- 确定PEoLC患者在家中死亡的因素对于改善护理提供至关重要.
研究的目的:
- 确定与留在家中和在接受PEoLC的患者实现家庭死亡相关的因素.
- 探索患者,护理人员和提供者对家庭终身护理的观点.
主要方法:
- 序列混合方法研究,结合定量 (n=5931) 和定性 (n=73) 数据.
- 定量分析包括对行政数据的物流和考克斯回归模型.
- 定性分析涉及半结构面试和内容分析,随后进行数据整合.
主要成果:
- 家庭死亡发生在近30%的PEOLC患者中,大多数死亡发生在接受护理一年内.
- 获得缓解护理 (aOR=2.699),女性性别,独自生活,住院病史和支持服务与家庭死亡有关.
- 定性发现强调了患者的愿望,流行病后及时获得服务的挑战,以及家庭死亡的促进者.
结论:
- 休息护理使PEoLC患者在家死亡的几率增加了一倍以上.
- 及时获得家庭护理,护理,卫生和息方法对于支持家庭死亡至关重要.
- 改善PEoLC服务需要稳定家庭护理人员,标准化服务,优化护士从业人员的角色.
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