McDonald Andrew P, Rizzotti Rowena, Rivera Joanna M, D'Arcy Ryan C N, Park Grace, Song Xiaowei
Health Sciences and Innovation Surrey Memorial Hospital Fraser Health Surrey British Columbia Canada.
Faculty of Medicine University of British Columbia Vancouver British Columbia Canada.
Aging Med (Milton). 2021 Jan 21;4(1):4-11. doi: 10.1002/agm2.12144. eCollection 2021 Mar.
Adopting a better understanding of how both older adults and health care providers view the community management of frailty is necessary for improving home health, especially facing the coronavirus disease 2019 (COVID-19) pandemic. We conducted a qualitative focus group study to assess how both older adults and health care providers view frailty and virtual health care in home health.
Two focus groups enrolled home-living older adults and health care professionals, respectively (n = 15). Questions targeting the use of virtual / telehealth technologies in-home care for frail older adults were administered at audio-recorded group interviews. Transcribed discussions were coded and analyzed using NVivo software.
The older adult group emphasized the autonomy related to increasing frailty and social isolation and the need for transparent dissemination of health care planning. They were optimistic about remote technology-based supports and suggested that telehealth / health-monitoring/tracking were in high demand. Health care professionals emphasized the importance of a holistic biopsychosocial approach to frailty management. They highlighted the need for standardized early assessment and management of frailty.
The integrated perspectives provided an updated understanding of what older adults and practitioners value in home-living supports. This knowledge is helpful to advancing virtual home care, providing better care for frail individuals with complex health care needs.
更好地了解老年人和医疗保健提供者如何看待衰弱的社区管理对于改善家庭健康至关重要，尤其是在面对2019冠状病毒病（COVID-19）大流行的情况下。我们进行了一项定性焦点小组研究，以评估老年人和医疗保健提供者如何看待家庭健康中的衰弱和虚拟医疗保健。
两个焦点小组分别招募了居家老年人和医疗保健专业人员（n = 15）。在录音的小组访谈中，针对虚弱老年人在家中使用虚拟/远程医疗技术进行护理的问题进行了提问。转录的讨论内容使用NVivo软件进行编码和分析。
老年人群体强调了与日益增加的衰弱和社会隔离相关的自主性，以及透明传播医疗保健计划的必要性。他们对基于远程技术的支持持乐观态度，并表示对远程医疗/健康监测/跟踪的需求很高。医疗保健专业人员强调了采用整体生物心理社会方法进行衰弱管理的重要性。他们强调了对衰弱进行标准化早期评估和管理的必要性。
综合观点提供了对老年人和从业者在居家支持中所重视内容的最新理解。这些知识有助于推进虚拟家庭护理，为有复杂医疗保健需求的虚弱个体提供更好的护理。
