在养老院环境中以人为中心的医疗:复杂干预的可行性测试
Line Due Christensen1, Hilary L Bekker2,3,4, Flemming Bro5,4
1Research Unit for General Practice, Aarhus, Denmark. Linedue@gmail.com.
BMC primary care
|August 26, 2025
概括
这项研究发现PREPAIR-CH干预措施可用于增强养老院以人为中心的医疗. 虽然居民和亲属感觉更多的参与, 医疗保健专业人士对沟通工具的看法是不同的.
科学领域:
- 老年学
- 药理学
- 医疗保健管理
背景情况:
- 以人为中心的医疗对老年人至关重要,
- 养老院居民和亲属在药物决策中的参与往往有限.
- 这项研究探讨了改善居民/亲属参与和专业间沟通的干预措施的可行性.
研究的目的:
- 测试准备患者积极参与医疗治疗的可行性.
- 评估养老院居民及其亲属在药物决策中的参与.
- 评估有关药物的专业间沟通的支持.
主要方法:
- 在两个丹麦养老院进行可行性测试 (2022年4月至10月).
- 干预包括PREPAIR-CH和药物沟通模板.
- 通过观察和采访与医疗保健专业人员,居民和亲属收集的数据,使用规范化过程理论进行分析.
主要成果:
- 这项干预被参与者认为是相关的,并与个人价值观保持一致.
- 主要促进因素包括灵活性,协调和协作;挑战涉及居民选择和相对参与.
- 这项干预措施增强了参与感,并为医疗保健专业人员提供了患者的观点.
结论:
- 对于住户,亲属和护理人员来说,PREPAIR-CH的干预是可以接受和可行的.
- 养老院工作人员和全科医生之间存在关于沟通模板相关性的分歧.
- 需要进一步探索大规模评估,重点是居民适用性和定制的专业间沟通支持.
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