J Gerontol Nurs. 2020 Mar 1;46(3):15-25. doi: 10.3928/00989134-20200129-06.
Understanding patient preferences is core to person-centered care. The consistency of everyday preference reporting was assessed comparing responses of Veteran (VA) and non-VA nursing home (NH) residents on the Preferences for Everyday Living Inventory (PELI) at baseline and 5 to 7 days later. Non-VA NH residents demonstrated higher perfect agreement than VA residents (66% vs. 56%, respectively) and higher acceptable agreement (95% vs. 88%, respectively). Multiple regression analyses examined significant predictors of reliability using demographics, cognitive functional variables, and interviewer ratings. In the VA group, higher perfect agreement was associated with residents who were less likely to have hearing deficits, better cognition, and better interviewer ratings related to energy, attention, and comprehension. In the non-VA group, higher perfect agreement was associated with residents who were younger and more independent with walking. Overall, higher agreement was associated with being female, non-VA, and having better cognition. Implications for future research and clinical practice are highlighted. [Journal of Gerontological Nursing, 46(3), 15-25.].
了解患者偏好是以人为本护理的核心。通过比较退伍军人事务部 (VA) 和非退伍军人事务部养老院 (NH) 居民在基线和 5 到 7 天后对日常生活偏好清单 (PELI) 的反应,评估了日常偏好报告的一致性。非 VA NH 居民的完全一致性(分别为 66%和 56%)和可接受一致性(分别为 95%和 88%)均高于 VA 居民。多元回归分析使用人口统计学、认知功能变量和访谈者评分,检查了可靠性的显著预测因素。在 VA 组中,完全一致性与听力缺陷、认知能力更好以及与能量、注意力和理解力相关的访谈者评分更高的居民相关。在非 VA 组中,完全一致性与年龄较小、行走更独立的居民相关。总体而言,更高的一致性与女性、非 VA 和更好的认知能力相关。强调了未来研究和临床实践的意义。[老年护理杂志,46(3),15-25]。