了解与老年人进行严重疾病对话的促进者和障碍:使用社会生态框架进行定性分析
Eleanor Hummel1, Jasmine Yun-Ting Tan2, Shirlyn Hui-Shan Neo2
1University of North Carolina at Chapel Hill, NC, USA.
Sage open aging
|March 9, 2026
概括
严重疾病对话 (SICs) 有助于将护理与老年人的优先事项协调一致. 了解像接受这样的促进者和像沟通不良这样的障碍是改善这些重要讨论的关键.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 严重疾病影响全球越来越多的老年人.
- 严重疾病对话 (SICs) 对于使患者的优先事项与护理计划保持一致至关重要.
- 老年人不成比例地受到严重疾病的影响,但在SIC方面缺乏研究.
研究的目的:
- 确定在老年人中进行SIC的障碍和促进者.
- 了解患有严重疾病的老年人和他们的家庭护理人员的观点.
主要方法:
- 对11名患有严重疾病的老年人进行了深入采访.
- 采访了6名患有严重疾病的老年人的家庭照顾者.
- 利用社会生态框架对已识别的促进者和障碍物进行分类.
主要成果:
- 促进者包括患者接受,准备,希望,早期启动,直接沟通,优质护理和宗教支持.
- 障碍物包括有限的意识,情绪不佳,不确定性,供应商沟通不佳,信息缺口和文化污名.
- 在个人,人际,机构和社会文化层面确定了因素.
结论:
- 了解患者和护理人员对SIC促进者和障碍者的看法至关重要.
- 调查结果可以为政策和临床实践提供信息,以加强老年人SIC.
- 改善SIC可以为这个弱势群体带来更好地协调和更以患者为中心的护理.
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