患者参与家庭护理:对体验,克制和失去参与的纵向探索
Ove Hellzén1, Tove Mentsen Ness2, Kari Ingstad3
1Department of Nursing Science, Mid-Sweden University, Sundsvall, Sweden.
SAGE open nursing
|July 30, 2025
概括
老年人希望参与他们的照顾,但参与是复杂的. 医疗保健专业人员必须优先考虑患者.
科学领域:
- 老年学和医疗保健研究研究
- 以患者为中心的护理研究研究
- 家庭护理和老龄化现场研究
背景情况:
- 个性化医疗需要患者参与表达关切并影响治疗决策.
- 患者参与对于成功的现场衰老至关重要,但挑战仍然存在,特别是对于具有复杂健康需求的老年人来说.
- 了解患者参与动态对于改善家庭护理环境中的护理质量和患者结果至关重要.
研究的目的:
- 为了探索一个老年人的经验与患者参与在护理三元组.
- 检查老年人,医疗保健专业人员和家庭护理人员在挪威家庭护理中的互动和观点.
- 确定影响老年人家庭医疗保健背景下患者参与的因素.
主要方法:
- 纵向单个案例研究设计,嵌入单位超过一年.
- 与老年人,女儿,全科医生和家庭护理护士进行了多次采访.
- 质量内容分析应用于采访数据以确定主题.
主要成果:
- 出现了三个核心主题:体验参与,避免参与,失去参与.
- 这位老年人表达了参与的愿望,尽管偶尔会注意到不情愿.
- 交互和背景因素显著影响了老年人参与照顾决策的能力.
结论:
- 患者参与受到个人观点和上下文因素的复杂相互作用的影响.
- 医疗保健专业人员必须认识到患者的观点是参与护理的基础.
- 合作方法对于满足老年人的护理需求和确保他们积极参与至关重要.
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