在台湾的COVID-19期间提供家庭息护理:与跨学科团队成员进行的定性研究
Yu-Hsuan Wang1, Mireille Jacobson2,3, Pei-Yu Tsai4
1Leonard D. Schaeffer Center for Health Policy & Economics, University of Southern California, 635 Downey Way, Verna & Peter Dauterive Hall (VPD), Los Angeles, CA, 90089-3333, USA. wang385@usc.edu.
BMC palliative care
|July 23, 2025
概括
随着COVID-19大流行,台湾的家庭息护理 (HBPC) 面临挑战,强调需要更好的虚拟护理和协调. 学到的经验教训可以改善未来公共卫生对整体患者护理的准备.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着COVID-19的流行,全球的息护理服务发生了重大破坏.
- 亚洲普遍医疗保健系统对家庭息护理 (HBPC) 的影响尚未得到充分研究.
- 台湾已建立的HBPC计划提供了一个独特的背景来研究流行病适应.
研究的目的:
- 探索跨学科的HBPC团队在台湾COVID-19大流行期间的经验.
- 在流行病限制下确定HBPC交付的挑战和适应.
- 在公共卫生危机期间,为维持以患者为中心的护理提供未来战略的信息.
主要方法:
- 使用基于电话的半结构面试进行的定性研究.
- 来自农村和城市医疗中心的14名HBPC提供者参与了.
- 在COREQ标准的指导下,对采访成绩单进行感应性主题分析.
主要成果:
- 确定了四个关键主题:影响的时间变化,对HBPC吸收的不同看法,由于限制而导致的护理提供困难以及护理协调中断.
- 疫情给HBPC带来了伦理,临床和协调方面的挑战.
- 跨学科团队在维持护理的连续性和质量方面面临重大障碍.
结论:
- 台湾的HBPC尽管拥有强大的系统,但仍面临着挑战,强调需要改进虚拟护理基础设施.
- 更明确的跨学科协调协议和持续的护理人员支持至关重要.
- 研究结果为加强公共卫生准备提供了见解,以平衡感染控制与以患者为中心的息治疗.
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