在全方位老年护理计划 (PACE) 中员工识别的缓解护理需求:调查研究
Molly A Nowels1, Karolina Sadowska1, Mark A Unruh2
1Division of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, New York, USA.
Journal of the American Medical Directors Association
|August 31, 2025
概括
老年人全方位护理计划 (PACE) 的临床医生认为患者的缓解护理需求很高,特别是在事先的护理规划和行为健康方面. 为了改善患者的生活质量,
科学领域:
- 老年病学
- 缓和护理
- 医疗服务研究
背景情况:
- 全方位老年护理计划 (PACE) 为社区中的老年人提供全面的服务,旨在防止制度化.
- PACE参与者往往有复杂的医疗,社会和行为健康需求,需要专门的护理协调.
- 息护理的整合对于治疗症状和改善患者生活质量至关重要.
研究的目的:
- 评估PACE患者对未得到满足的息治疗需求的看法.
- 确定PACE多学科工作人员的息护理教育要求.
- 在PACE计划中制定加强息护理的策略.
主要方法:
- 在三个PACE地点对临床工作人员进行了横截面调查.
- 参与者包括医生,护士,社会工作者,治疗师和认证护士助理.
- 用描述性统计数据分析了有关患者需求和工作人员教育差距的调查答案.
主要成果:
- 超过一半的81名受访者认为息治疗可以改善患者的生活质量,并希望获得更多治疗机会.
- 患者最需要的缓解护理专家支持包括疼痛管理,护理人员支持和精神症状管理.
- 受访者表示,PACE患者最能从护理人员支持,预先护理规划和精神症状管理等额外服务中受益.
结论:
- PACE临床医生认识到息治疗的好处,但在满足患者需求方面面临挑战,特别是在事先的护理规划和心理社会领域.
- 在护理人员的支持和精神症状管理方面的高未满足需求凸显了PACE参与者的复杂护理需求.
- 综合行为保健息护理模式可能比传统咨询模式更有效地解决PACE中的这些复杂需求.
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