检查interRAI通信协作行动计划识别有感官挑战的个人的能力:一项回顾性队列研究
Nicole Williams1, Walter Wittich2,3,4, M Kathleen Pichora-Fuller5
1Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada.
International journal of nursing studies advances
|October 23, 2025
概括
国际RAI通信协作行动计划 (CAP) 有效地识别了需要支持的感官障碍的老年人. 这个工具有助于以客户为中心的护理规划,通过突出更好的服务交付的沟通需求.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 通信科学 通信科学
背景情况:
- 国际RAI通信协作行动计划 (CAP) 旨在识别可能从干预中受益的感官障碍患者.
- 了解CAP如何促进以客户为中心的护理规划和服务提供,对于优化对老年人的护理至关重要.
研究的目的:
- 评估INTERRAI通信CAP在识别有感官障碍的个人的有效性.
- 通过案例研究,探索CAP在促进以客户为中心的护理规划和服务提供方面的作用.
主要方法:
- 一项回顾性队列研究,使用加拿大家庭护理居民评估仪器 (RAI-HC) 的二次数据 (n=508,856).
- 65岁以上的个人在2008-2020年期间进行了两次评估,并根据CAP触发级别 (未触发,促进改善,防止下降) 分类.
- 人口,感官,认知和诊断数据进行了比较;使用桑基图和案例研究分析了CAP水平之间的过渡.
主要成果:
- 大多数人 (77.7%) 并没有触发CAP,而9.5%是为了改善和12.5%是为了预防衰退.
- 患有感官障碍的个体更有可能属于"触发以促进改善"组.
- 评估之间的中位时间为21个月.
结论:
- 通信CAP有效地标记了有感官障碍的个体,表明需要进行干预.
- 对所有沟通方面 (认知,感官,感受,表达) 的全面评估对于决策支持工具和护理规划至关重要.
- 案例研究强调了在老年护理中对沟通评估采取整体方法的重要性.
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