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以患者为中心的听觉康复:佩戴助听器的老年人的观点。

Patient-centred audiological rehabilitation: perspectives of older adults who own hearing aids.

机构信息

* The HEARing CRC , Carlton, Melbourne , Australia.

出版信息

Int J Audiol. 2014 Feb;53 Suppl 1:S68-75. doi: 10.3109/14992027.2013.866280.

Abstract

OBJECTIVE

Patient-centred care is a term frequently associated with quality health care. Despite extensive literature from a range of health-care professions that provide description and measurement of patient-centred care, a definition of patient-centredness in audiological rehabilitation is lacking. The current study aimed to define patient-centred care specific to audiological rehabilitation from the perspective of older adults who have owned hearing aids for at least one year.

DESIGN

Research interviews were conducted with a purposive sample of older adults concerning their perceptions of patient-centredness in audiological rehabilitation, and qualitative content analysis was undertaken.

STUDY SAMPLE

The participant sample included ten adults over the age of 60 years who had owned hearing aids for at least one year.

RESULTS

Data analysis revealed three dimensions to patient-centred audiological rehabilitation: the therapeutic relationship, the players (audiologist and patient), and clinical processes. Individualised care was seen as an overarching theme linking each of these dimensions.

CONCLUSIONS

This study reported two models: the first model describes what older adults with hearing aids believe constitutes patient-centred audiological rehabilitation. The second provides a guide to operationalised patient-centred care. Further research is required to address questions pertaining to the presence, nature, and impact of patient-centred audiological rehabilitation.

摘要

目的

以患者为中心的护理是一个经常与高质量医疗保健相关的术语。尽管来自多个医疗保健专业的广泛文献提供了对以患者为中心的护理的描述和衡量,但在听力学康复中缺乏以患者为中心的定义。本研究旨在从至少使用助听器一年的老年人的角度定义特定于听力学康复的以患者为中心的护理。

设计

对有目的的老年人样本进行了关于他们对听力学康复中的以患者为中心的看法的研究访谈,并进行了定性内容分析。

研究样本

参与者样本包括 10 名年龄在 60 岁以上、至少使用助听器一年的成年人。

结果

数据分析揭示了以患者为中心的听力学康复的三个维度:治疗关系、参与者(听力学家和患者)和临床流程。个性化护理被视为连接这些维度的一个总体主题。

结论

本研究报告了两个模型:第一个模型描述了佩戴助听器的老年人认为什么构成以患者为中心的听力学康复。第二个模型提供了以患者为中心的护理的操作指南。需要进一步研究来解决与以患者为中心的听力学康复的存在、性质和影响有关的问题。

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