为什么社区息治疗被拒绝? 老年人,护理人员和提供者观点
Kira G Sheldon1, Kathryn H Bowles2, Lori King3
1Rutgers University, New Brunswick, New Jersey, USA.
Journal of palliative medicine
|July 30, 2025
概括
许多重病患者因误解和不愿改变而拒绝息治疗 (PC). 改善PC沟通,将其与临终关怀区分开来,并涉及当前护理团队,可以增加患者接受度.
科学领域:
- 老年学是一门学科.
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 息治疗 (PC) 为重病患者提供关键支持,包括痴呆症患者 (PLWD).
- 衰退的CP是严重疾病患者获得支持性护理的重要障碍.
- 了解PC下降的原因对于改善访问和利用至关重要.
研究的目的:
- 探索为什么重病患者及其照顾者拒绝息治疗的原因.
- 在医疗保险优势人口中识别缓解护理的障碍.
- 为提高人们接受息治疗的策略提供信息.
主要方法:
- 一项试点研究采用半结构面试,与拒绝PC的患者和护理人员进行半结构面试.
- 专注小组与息护理工作人员进行了聚焦,以收集他们的观点.
- 该研究包括15名护理人员 (13名PLWD) 和3名医疗保险优势计划会员.
主要成果:
- PC下降的主要原因包括与宿舍服务的混以及缺乏额外福利的感知.
- 护理人员不愿意改变现有的护理计划,并与不熟悉的提供者接触是重要因素.
- 息护理工作人员指出,患者参与方面存在挑战,需要以家庭为中心的决策.
结论:
- 调整PC沟通策略可以提高患者和护理人员的接受度.
- 需要更清晰的解释来区分PC和临终关怀.
- 根据个人需求量身定制PC外展,并让当前的护理团队参与,可能会提高接收率.
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