改善社区息护理解释:拒绝服务的人的见解
Kira G Sheldon1, Kathryn H Bowles2,3, Elizabeth A Luth4
1Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ, USA.
The American journal of hospice & palliative care
|August 20, 2025
概括
了解息治疗对于老年人和他们的照顾者来说至关重要. 专注于个体健康需求的量身定制解释可以改善对这些重要支持服务的参与.
科学领域:
- 老年病学
- 缓和护理
- 医疗服务研究
背景情况:
- 老年人多种慢性疾病的患病率增加导致功能衰退和医疗保健使用率增加.
- 患有痴呆症的护理人员因未得到满足的支持性护理需求而面临重大压力.
- 基于社区的息治疗改善了重病患者的生活质量.
研究的目的:
- 评估Medicare Advantage受益人和护理人员,包括痴呆症护理人员对息治疗的了解.
- 确定缓解护理参与的障碍和促进因素.
- 确定解释息护理服务的最佳方法.
主要方法:
- 对22名拒绝息治疗的重病受益者和护理人员进行了半结构化采访.
- 与5名息护理工作人员举行聚焦小组.
- 探索了对息护理服务的理解和看法.
主要成果:
- 受益人和护理人员对息护理的理解不同,从不了解到误解 (例如,将其等同于临终关怀).
- 准确的理解往往是有限的或单一的.
- 参与者建议个性化,简单的语言解释与健康问题相适应,并提供后续材料.
结论:
- 简单的调整解释缓解护理可以提高老年人和护理人员的理解.
- 根据特定需求提供个性化,易于理解的解释可以提高相关性和参与度.
- 清晰的沟通是克服有关息护理的知识缺口和误解的关键.
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