Department of General Practice, Monash University, Notting Hill, Australia.
Australian Institute for Primary Care and Ageing, La Trobe University, Bundoora, Australia.
Psychol Health. 2020 Oct;35(10):1228-1248. doi: 10.1080/08870446.2020.1743293. Epub 2020 Mar 25.
There is growing interest in improving the care of people living with multimorbidity who require care coordination to help manage their health and reduce risk of hospitalisation. There has been limited past research exploring experiences of care for people living with multimorbidity. This qualitative study sought to explore the care experience of people enrolled in a care coordination intervention. We interviewed 23 people living with multimorbidity enrolled in a care coordination intervention to examine their perceptions of the care experience. We used interpretative phenomenological analysis to identify themes from participants' perspectives of involvement in their care, using information to make decisions, and the meanings they made of their care experiences. We identified three master themes of the participants' experience of care: and . We discuss these findings in the context of the recent literature on person-centred care. Understanding participants' experience of care reinforces the need for person-centred approaches. These findings suggest care coordination offered to people living with multimorbidity can be implemented through practical support and information alongside establishing a relationship of trust.
人们越来越关注改善患有多种疾病的人群的护理，这些人需要护理协调来帮助管理他们的健康状况并降低住院风险。过去对患有多种疾病的人群的护理体验的研究有限。这项定性研究旨在探讨参与护理协调干预的人群的护理体验。我们采访了 23 名参与护理协调干预的患有多种疾病的人，以了解他们对护理体验的看法。我们使用解释性现象学分析，从参与者参与护理、使用信息做出决策以及对护理体验赋予意义的角度，确定了他们的三个主要主题：护理体验的复杂性、信息共享的挑战以及关系建立的重要性。我们在以患者为中心的护理的最新文献背景下讨论了这些发现。了解参与者的护理体验，加强了对以患者为中心的方法的需求。这些发现表明，可以通过提供实际支持和信息，以及建立信任关系，为患有多种疾病的人实施护理协调。
