沉默服务:识别未被认可的年轻军事护理人员
Andrea F Kalvesmaki1,2,3, Sandra Garcia-Davis3,4,5, Stuti Dang3,4
1Informatics Decision-Enhancement, and Analytic Sciences (IDEAS) Center of Innovation, VA Salt Lake City Health Care System, Salt Lake City, UT 84148, United States.
支持退伍军人的年轻护理人员 (<25岁) 与日常生活活动 (ADL) 的未满足需求增加有关. 这些退伍军人也面临着更大的社会需求,强调了有针对性的支持服务的需要.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 护理人员支持护理人员支持
背景情况:
- 家庭护理人员对于退伍军人的健康和减少机构护理至关重要.
- 退伍军人家庭的年轻护理人员 (<25岁) 可能面临更大的社会需求.
- 了解年轻护理人员对未满足功能需求的影响至关重要.
研究的目的:
- 检查护理网络类型 (无护理人员,年轻护理人员,老年护理人员) 与退伍军人未满足的功能需求之间的关联.
- 确定与年轻护理人员的存在相关的特定社会和功能需求.
主要方法:
- 对具有功能限制的退伍军人进行的大规模护理调查 (N=4,744) 的二次分析.
- 根据护理网络分类退伍军人:没有护理人员,年轻护理人员 (<25岁) 或年长护理人员 (≥25岁).
- 使用经过调整以人口,临床和功能特征的后勤回归模型来评估未满足的日常生活活动 (ADL) 和日常生活工具活动 (IADL) 的需求.
主要成果:
- 与那些只有老年护理人员的退伍军人相比,年轻护理人员的退伍军人报告说,未满足ADL需求的几率明显更高.
- 拥有年轻护理人员的退伍军人更有可能经历低健康素养,粮食不安全和运输问题.
- 与老年护理人员相比,护理人员与较低的未满足ADL/IADL需求无关;年轻护理人员与未满足IADL需求无显著联系.
结论:
- 退伍军人网络中年轻的护理人员 (<25岁) 的存在与未满足的ADL需求和社会风险的增加有关.
- 拥有年轻护理人员的退伍军人可能需要加强对健康素养,营养,交通和社会联系的支持.
- 区分与年轻护理人员的护理安排对于为老年退伍军人和他们的家人量身定制支持服务至关重要.
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