从护理人员的角度看,制度化养老院居民的死亡质量:混合方法研究
Daniel Puente-Fernandez1,2, Emilio Mota-Romero1,2,3, Manuel Fernández-Alcántara4
1Departamento de Enfermería, Universidad de Granada, Granada, Spain.
Journal of advanced nursing
|July 27, 2025
概括
家庭护理人员高度评价了养老院死亡的质量,除了准备任务. 住院居民的认知障碍与感知到更低的生命终点质量有关.
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:
- 评估养老院的终身护理质量对于居民的福祉至关重要.
- 家庭护理人员的观点为死亡体验的质量提供了宝贵的见解.
研究的目的:
- 在长期护理中的死亡质量 (QoD-LTC) 尺度上评估家庭护理人员的评级.
- 识别护理人员对生命终结体验的看法中的一致性和差异.
主要方法:
- 融合混合方法设计,结合定量 (QoD-LTC规模) 和定性 (采访) 数据.
- 同时从69名家庭护理人员 (定量) 和11名家庭护理人员 (质量) 收集数据.
- 进行了统计分析 (描述性,曼-惠特尼U,斯皮尔曼) 和演性的专题分析.
主要成果:
- 总体平均 QoD-LTC 分数为 39.29 (SD=7.58).
- "人格"是评分最高的领域 (M=4.32),而"准备任务"是最低的 (M=2.66).
- 护理人员报告说,他们对症状管理感到满意,但在终身问题和事先护理规划方面存在沟通缺口.
结论:
- 在定量和定性数据之间存在很高的一致性,而"准备任务"是一个值得注意的例外.
- 居民的认知障碍与死亡感知质量较低相关,特别是在"关闭"和"准备任务"中.
- 需要加强生命终端沟通和事先护理规划的战略.
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