Ericsson Iréne, Ekdahl Anne W, Hellström Ingrid
School of Health Sciences, Jönköping University, 553 18, Jönköping, Sweden.
Department of Clinical Sciences Helsingborg, Helsingborg Hospital, Lund University, Almahuset, Svartbrödregränden 3-5, Fack 2, 252 23, Helsingborg, Sweden.
BMC Geriatr. 2021 Nov 6;21(1):636. doi: 10.1186/s12877-021-02587-y.
The proportion of older people in the population has increased globally and has thus become a challenge in health and social care. There is good evidence that care based on comprehensive geriatric assessment (CGA) is superior to the usual care found in acute hospital settings; however, the evidence is scarcer in community-dwelling older people. This study is a secondary outcome of a randomized controlled trial of community-dwelling older people in which the intervention group (IG) received CGA-based care by a geriatric mobile geriatric team (GerMoT). The aim of this study is to obtain a better understanding, from the patients' perspective, the experience of being a part of the IG for both the participants and their relatives.
Qualitative semistructured interviews of twenty-two community dwelling participants and eleven of their relatives were conducted using content analysis for interpretation.
The main finding expressed by the participants and their relatives was in the form of feelings related to safety and security and being recognized. The participants found the care easily accessible, and that contacts could be taken according to needs by health care professionals who knew them. This is in accordance with person-centred care as recommended by the World Health Organisation (WHO) for older people in need of integrated care. Other positive aspects were recurrent health examinations and being given the time needed when seeking health care. Not all participants were positive as some found the information about the intervention to be unclear especially regarding whom to contact when in different situations.
CGA-based care of community-dwelling older people shows promising results as the participants in GerMoT found the care was giving a feeling of security and safety. They found the care easily accessible and that it was provided by health care professionals who knew them as a person and knew their health care problems. They found this to be in contrast to the usual care provided, but GerMoT care did not fulfill some people's expectations.
全球老年人口比例不断上升，这已成为健康和社会护理领域的一项挑战。有充分证据表明，基于综合老年评估（CGA）的护理优于急性医院环境中的常规护理；然而，对于社区居住的老年人，相关证据较少。本研究是一项针对社区居住老年人的随机对照试验的次要结果，其中干预组（IG）接受了老年移动团队（GerMoT）基于CGA的护理。本研究的目的是从患者的角度更好地了解参与者及其亲属作为IG一部分的体验。
对22名社区居住参与者及其11名亲属进行了定性半结构化访谈，并采用内容分析法进行解读。
参与者及其亲属表达的主要感受是与安全感和被认可感相关。参与者发现护理很容易获得，并且医疗保健专业人员可以根据他们的需求进行联系，这些专业人员了解他们。这符合世界卫生组织（WHO）为需要综合护理的老年人推荐的以患者为中心的护理。其他积极方面包括定期健康检查以及在寻求医疗保健时获得所需的时间。并非所有参与者都持积极态度，因为一些人发现关于干预的信息不清楚，特别是在不同情况下该联系谁。
基于CGA对社区居住老年人的护理显示出有希望的结果，因为GerMoT的参与者发现这种护理给人一种安全感。他们发现护理很容易获得，并且是由了解他们个人情况和健康问题的医疗保健专业人员提供的。他们发现这与通常提供的护理形成对比，但GerMoT护理没有满足一些人的期望。
