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患有轻度认知衰退的居民及其家庭成员报告称,健康专业学生在塔斯马尼亚州的两家老年护理机构中“增强了护理能力”并带来了“新的活力”。

Residents with mild cognitive decline and family members report health students 'enhance capacity of care' and bring 'a new breath of life' in two aged care facilities in Tasmania.

作者信息

Elliott Kate-Ellen J, Annear Michael J, Bell Erica J, Palmer Andrew J, Robinson Andrew L

机构信息

Wicking Dementia Research and Education Centre, Faculty of Health, University of Tasmania, Hobart, Tas., Australia.

Health Economic Department, Menzies Research Institute Tasmania and Research Associate Wicking Dementia Research and Education Centre, Hobart, Tas., Australia.

出版信息

Health Expect. 2015 Dec;18(6):1927-40. doi: 10.1111/hex.12236. Epub 2014 Jul 7.

Abstract

BACKGROUND

Care provided by student doctors and nurses is well received by patients in hospital and primary care settings. Whether the same is true for aged care residents of nursing homes with mild cognitive decline and their family members is unknown.

OBJECTIVE

To investigate the perspectives of aged care residents with mild cognitive decline and their family members on interdisciplinary student placements in two residential aged care facilities (RACF) in Tasmania.

DESIGN, SETTING AND PARTICIPANTS: A mixed methods design was employed with both qualitative and quantitative data collected. All participants were interviewed and completed a questionnaire on residents' quality of life, during or after a period of student placements in each facility (October-November, 2012). Qualitative data were coded for themes following a grounded theory approach, and quantitative data were analysed using SPSS.

RESULTS

Twenty-one participants (13 residents and 8 family members) were recruited. Four themes were identified from the qualitative data and included (i) increased social interaction and facility vibrancy; (ii) community service and personal development, (iii) vulnerability and sensitivity (learning to care) and (iv) increased capacity and the confidence of enhanced care. Residents' quality of life was reported to be mostly good in the presence of the students, despite their high care needs.

CONCLUSION

Residents with mild cognitive decline and their family members perceive a wide array of benefits of student provided care in RACFs including increased social interaction. Future quantitative research should focus on whether changes in care occur for residents as a result of student involvement.

摘要

背景

在医院和初级保健机构中,实习医生和护士提供的护理服务深受患者欢迎。但对于认知能力轻度下降的养老院老年护理居民及其家庭成员而言,情况是否如此尚不清楚。

目的

调查塔斯马尼亚州两家老年护理机构中认知能力轻度下降的老年护理居民及其家庭成员对跨学科学生实习的看法。

设计、地点和参与者:采用混合方法设计,收集定性和定量数据。在每个机构的学生实习期间或之后(2012年10月至11月),所有参与者都接受了访谈并完成了一份关于居民生活质量的问卷。定性数据采用扎根理论方法进行主题编码,定量数据使用SPSS进行分析。

结果

招募了21名参与者(13名居民和8名家庭成员)。从定性数据中确定了四个主题,包括:(i)社交互动增加和机构活力增强;(ii)社区服务和个人发展;(iii)脆弱性和敏感性(学会关爱);(iv)护理能力和信心增强。尽管居民护理需求较高,但据报告,在有学生参与的情况下,他们的生活质量大多良好。

结论

认知能力轻度下降的居民及其家庭成员认为,学生在养老院提供护理有诸多益处,包括社交互动增加。未来的定量研究应关注学生参与是否会给居民护理带来变化。

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