Götze H, Perner A, Anders D, Brähler E
Selbstständige Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Medizinische Fakultät.
Gesundheitswesen. 2010 Nov;72(11):e60-4. doi: 10.1055/s-0029-1242781. Epub 2010 Jan 4.
Within the study "possibilities and borders of ambulatory palliative care" interviews with employees of the outpatient care service were carried out. Thereby the subjective view of the professional care givers was the maintaining of interest. The focus was on problems in palliative home care, co-operation with other professionals and family caregivers as well as the conditions of their work.
With the help of qualitative manual interviews, the questioning took place with nine cooperating ambulatory care services. The interviews were recorded, transliterated, analysed and evaluated following the qualitative content analysis of Mayring.
From the ambulant caregivers' point of view the causes for a failure of home care are particularly the poor cooperation with other professionals and the large distress of the family caregivers. In contrast, they estimate that a good cooperation with the family doctor and other participants of the care, a sufficient qualification and networking as well as committed family caregivers and pleased patients are beneficial factors for ambulatory palliative care.
An efficient implementation of specialised ambulatory care models (SAPV) is imperative in order to ensure an interdisciplinary and cooperative care for palliative patients and to afford an effective working field for professional care givers.
在“门诊姑息治疗的可能性与边界”研究中，对门诊护理服务的员工进行了访谈。专业护理人员的主观观点在于维持兴趣。重点是姑息家庭护理中的问题、与其他专业人员及家庭护理人员的合作以及他们的工作条件。
借助定性人工访谈，对九个合作的门诊护理服务机构进行了询问。访谈按照迈林的定性内容分析法进行记录、转写、分析和评估。
从门诊护理人员的角度来看，家庭护理失败的原因尤其在于与其他专业人员的合作不佳以及家庭护理人员的巨大压力。相比之下，他们估计与家庭医生及其他护理参与者的良好合作、足够的资质与网络以及尽责的家庭护理人员和满意的患者是门诊姑息治疗的有利因素。
为确保为姑息患者提供跨学科和合作性护理，并为专业护理人员提供有效的工作领域，必须有效实施专门的门诊护理模式（SAPV）。
