家庭护理人员 经验 协调对老年人的照顾
Jennifer L Wolff1, Chanee D Fabius1, M J Wu1
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
JAMA network open
|November 19, 2025
概括
家庭护理人员经常与多方协调护理,但与医疗专业人员的关系协调很弱. 培训和支持性沟通可以改善残疾老年人的协调.
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
- 社会学 社会学 社会学
背景情况:
- 具有残疾的老年人依赖于家庭,医疗专业人员和付费护理人员的协调照顾.
- 目前的护理协调缺乏标准化的协议,阻碍了理解和有效性.
研究的目的:
- 调查家庭护理人员在与医疗专业人员,其他家庭成员和付费护理人员协调护理方面的经验.
- 评估不同护理关系之间的关系协调水平.
主要方法:
- 使用2023年国家健康和衰老趋势研究和国家护理研究数据进行横截面分析.
- 包括2811个家庭和社区生活的65岁以上残疾成年人的无薪照顾者.
- 利用适应的关系协调指数 (RCI) 来衡量沟通,共同目标,知识和尊重.
主要成果:
- 大多数护理人员 (87.6%) 与医疗专业人员,其他家庭或付费护理人员协调.
- 与医疗专业人员 (RCI=3.10) 的关系协调最弱,与有偿 (RCI=3.80) 和其他家庭护理人员 (RCI=4.20) 的关系协调最为温和.
- 更高的协调与与护理接收者相关,更高的护理需求和更高的护理强度有关. 培训显著改善了与医疗专业人员的协调.
结论:
- 家庭护理人员很少孤立地工作,这凸显了改善专业间合作的必要性.
- 与医疗专业人员的弱关系协调表明,通过有针对性的干预措施,如培训和增强的沟通策略,有改善的潜力.
- 进一步的研究是有必要的,以探索加强对老龄人口的护理协调网络的有效方法.
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