老年人中护理人员-提供者沟通质量与未满足护理需求之间的关联
Jiaming Liang1, Rafael Samper-Ternent1, Brian Downer2
1The University of Texas Health Science Center at Houston.
Research square
|December 11, 2025
概括
改善护理人员和医疗保健提供者之间的沟通可以减少老年人未满足的护理需求. 这对于低收入家庭和非配偶照顾者来说尤其重要,以确保公平的照顾.
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
- 卫生社会学 卫生社会学
背景情况:
- 老年人普遍存在未满足的护理需求,导致健康状况不佳,医疗保健使用量增加.
- 建立了有效的患者-医疗服务提供者沟通,但护理人员-医疗服务提供者沟通的作用仍未得到充分探索.
- 了解护理人员与提供者之间的沟通在不同的人口,健康和护理环境中至关重要.
研究的目的:
- 调查护理人员与提供者之间的沟通质量与社区老年人未满足的护理需求之间的联系.
- 确定老年人和护理人员的特定子组,他们可能从改进的沟通策略中获益最多.
主要方法:
- 综合2021-2023年国家健康与衰老趋势研究 (NHATS) 和国家护理研究 (NSOC) 数据的二次分析.
- 包括社区居住的老年人 (65岁以上) 接受护理人员的帮助,并有一个与医疗提供者沟通的护理人员.
- 使用加权顺序后勤回归来评估护理人员报告的沟通质量与未满足的护理需求之间的关系,调整为共变量.
主要成果:
- 这项研究分析了1414名老年人 (加权N=9.34M) 和1910名护理人员 (加权N=21.05M).
- 更高的护理人员-提供者沟通质量与更大的未满足护理需求的几率较低显著相关 (OR=0.93).
- 这种关联在低收入家庭,成年儿童/亲属照顾者 (vs.配偶) 和每月提供<20或>40小时照顾的人群中更为明显.
结论:
- 加强护理人员与提供者之间的沟通是缓解老年人需要长期支持的未满足护理需求的有希望的策略.
- 针对弱势群体,包括低收入家庭和非配偶照顾者,需要有针对性的干预措施.
- 解决系统和后勤障碍对于公平实施和获益至关重要.
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