在家视觉化退伍军人护理:了解护理网络的结构,功能和充分性
Lauren Hall1, Nicholas Koufacos1, Imran Ali2
1Geriatric Research, Education, and Clinical Center (GRECC), James J. Peters VA Medical Center, Bronx, NY, USA.
概括
年龄较大的退伍军人.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 退伍军人事务 退伍军人事务
背景情况:
- 老年人往往依赖于有偿和无偿照顾者的广泛网络.
- 护理网络的缺陷可能导致未得到满足的需求和不利的健康结果.
- 了解护理网络动态对于有效的老年护理至关重要.
研究的目的:
- 研究老年退伍军人的护理网络的结构,功能和充分性.
- 在退伍军人护理网络中识别未满足的需求和非正式的支持系统.
主要方法:
- 利用护理映射,一个协作视觉工具,探索护理网络.
- 与10名退伍军人和护理人员二元/三元进行了护理映射会议.
- 分析了护理网络的组成和所感知的充分性.
主要成果:
- 退伍军人报告说,他们平均有3个亲密护理伙伴.
- 护理地图揭示了非正式的支持,并确定了未得到满足的需求,例如家庭医疗辅助服务.
- 网络充足性通常被认为是足够的,无论网络结构如何.
结论:
- 护理网络结构各不相同,没有普遍的足够性模型.
- 退伍军人经常缺乏应急计划 (B计划),以应对主要护理人员不可用.
- 卫生系统可以利用护理网络的洞察力,更好地指导家庭和社区支持服务.
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