Krevers B, Närvänen A-L, Oberg B
Department of Health and Society, Faculty of Health Sciences, Linköping University, Sandbäcksgatan 7, SE-581 85 Linköping, Sweden.
Disabil Rehabil. 2002 Jun 15;24(9):482-91. doi: 10.1080/09638280110105268.
To gain a deeper understanding of how elderly persons experience and evaluate the care and rehabilitation process.
Qualitative interview data from elderly patients were analysed using a grounded theory approach. The patients were interviewed twice, at the beginning of geriatric hospital care and some weeks after discharge.
The patient-perceived outcome of the care and rehabilitation process reflected two dimensions; the effect on their health and the quality of the process, i.e. how their needs were met. The analysis revealed that the patients' needs differed during the care and rehabilitation process. It also indicated that patients perceived their needs and the care differently based on their previous experience of the care unit, their perceived trajectory of illness and their "patient character" which represented the patient's definition of himself/herself and the situation. A hypothetical model of the patients' evaluation process has been derived.
The results indicate the importance of using a process perspective in the assessment and the interpretation of patient-perceived outcome of care and rehabilitation, and that patient expectations, trajectories of illness and the patient character must be taken into consideration.
更深入地了解老年人如何体验和评价护理与康复过程。
采用扎根理论方法分析老年患者的定性访谈数据。患者在老年医院护理开始时和出院几周后接受了两次访谈。
患者对护理与康复过程的感知结果反映在两个维度上；对其健康的影响以及过程的质量，即他们的需求如何得到满足。分析表明，患者在护理与康复过程中的需求有所不同。这也表明，患者根据他们之前在护理单元的经历、他们所感知的疾病轨迹以及代表患者对自己和情况定义的“患者性格”，对他们的需求和护理有不同的认知。已得出患者评估过程的假设模型。
结果表明在评估和解释患者对护理与康复的感知结果时采用过程视角的重要性，并且必须考虑患者期望、疾病轨迹和患者性格。
