新加坡住院老年患者的患者激活及其预测因素。
Patient Activation and its Predictors in Hospitalized Older Adults in Singapore.
机构信息
Nursing Research Unit, Nursing Service, Tan Tock Seng Hospital, Singapore; Alice Lee Centre of Nursing Studies, National University of Singapore, Singapore.
Nursing Research Unit, Nursing Service, Tan Tock Seng Hospital, Singapore.
出版信息
Geriatr Nurs. 2021 Mar-Apr;42(2):336-343. doi: 10.1016/j.gerinurse.2021.01.006. Epub 2021 Feb 6.
BACKGROUND
Patient activation is critical in hospitalized older adults preparing for discharge as it enhances their ability to self-care at home. Little is known about how person-centred care and demographic predictors could influence activation in Asian patients.
AIMS
To explore patient activation and its predictors in hospitalized older adults in Singapore.
METHODS
Multi-centre cross-sectional survey of hospitalized older adults. Multivariable analysis conducted with age, gender, education, socioeconomic status, functional dependency and perception of person-centred care as potential predictors to patient activation.
RESULTS
300 older adults were surveyed, 65% were at the top two levels of activation. Perception of person-centred nursing care was the strongest predictor with the largest effect on patient activation, (β=0.22, b=3.48, 95% CI:1.70-5.26, p<0.001). Other predictors were age, education, income and independence in care.
CONCLUSION
Our study highlights the importance of person-centred nursing care in raising patient activation in hospitalized older adults, enhancing their capacity to self-care.
背景
患者的积极性在准备出院的住院老年患者中至关重要，因为这可以提高他们在家中自我护理的能力。目前对于以患者为中心的护理和人口统计学预测因素如何影响亚洲患者的积极性知之甚少。
目的
探讨新加坡住院老年患者的患者积极性及其预测因素。
方法
对住院老年患者进行多中心横断面调查。对年龄、性别、教育、社会经济地位、功能依赖和对以患者为中心的护理的感知等潜在预测因素进行多变量分析，以确定患者的积极性。
结果
调查了 300 名老年患者，其中 65%处于积极性最高的两个层次。对以人为中心的护理的感知是最强的预测因素，对患者积极性的影响最大（β=0.22，b=3.48，95%CI：1.70-5.26，p<0.001）。其他预测因素包括年龄、教育、收入和自理能力。
结论
我们的研究强调了以人为中心的护理在提高住院老年患者积极性、增强他们自我护理能力方面的重要性。
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