居民对支持养老机构就地医疗的移动 X 光服务的看法：一项定性研究。
Residents' perspectives of mobile X-ray services in support of healthcare-in-place in residential aged care facilities: a qualitative study.
机构信息
Adelaide Geriatrics Training and Research With Aged Care (GTRAC) Centre, Adelaide Medical School, Faculty of Health and Medical Sciences, University of Adelaide, 37a Woodville Rd, Woodville South, South Australia, 5011, Australia.
Basil Hetzel Institute for Translational Health Research, Central Adelaide Local Health Network, 37 Woodville Rd, Woodville South, South Australia, 5011, Australia.
出版信息
BMC Geriatr. 2022 Jun 25;22(1):525. doi: 10.1186/s12877-022-03212-2.
BACKGROUND
Mobile X-ray services (MXS) could be used to investigate clinical issues in aged care residents within familiar surroundings, reducing transfers to and from emergency departments and enabling healthcare to be delivered in residential aged care facilities. There is however little research exploring consumer perspectives about such services. The objective of this research was to explore the perspectives and preferences of residents about the provision of MXS in residential aged care facilities, including their knowledge about the service, perceived benefits, and factors that require consideration for effective implementation.
METHODS
A qualitative study design was used. The setting for the study included four residential aged care facilities of different sizes from different parts of a South Australian city. Purposive sampling was used to recruit participants. 16 residents participated in semi-structured interviews that were audio-recorded and transcribed verbatim. Data were inductively derived using thematic analysis.
RESULTS
Participants had a mean age of 85 years, 56% were female, 25% had dementia and 25% had had a mobile X-ray in the last 12 months. Four themes were developed. Participants preferred mobile X-rays, provided as healthcare-in-place, to improve accessibility to them and minimize physical and psychological discomfort. Participants had expectations about the processes for receiving mobile X-rays. Costs of X-rays to people, family and society were a consideration. Decision making required residents be informed about mobile X-rays.
CONCLUSIONS
Residents have positive views of MXS as they can receive healthcare-in-place, with familiar people and surroundings. They emphasised that MXS delivered in residential aged care facilities need to be of equivalent quality to those found in other settings. Increased awareness of mobile X-ray services is required.
背景
移动 X 光服务（MXS）可用于在熟悉的环境中调查老年护理居民的临床问题，减少往返急诊部的次数，并使医疗保健能够在住宅式老年护理设施中提供。然而，几乎没有研究探索消费者对这类服务的看法。本研究的目的是探讨居民对在住宅式老年护理设施中提供 MXS 的看法和偏好，包括他们对该服务的了解、感知到的益处，以及为有效实施需要考虑的因素。
方法
采用定性研究设计。研究地点包括南澳大利亚市不同地区的四个不同规模的住宅式老年护理设施。采用目的抽样法招募参与者。16 名参与者参加了半结构化访谈，访谈内容被录音并逐字转录。使用主题分析对数据进行归纳推导。
结果
参与者的平均年龄为 85 岁，56%为女性，25%患有痴呆症，25%在过去 12 个月内接受过移动 X 光检查。确定了四个主题。参与者更喜欢移动 X 光检查，作为就地医疗的一种方式，以提高他们的可及性，并最大限度地减少身体和心理不适。参与者对接受移动 X 光检查的过程有期望。X 光检查对个人、家庭和社会的成本是一个考虑因素。决策需要告知居民有关移动 X 光检查的情况。
结论
居民对 MXS 有积极的看法，因为他们可以在熟悉的人和环境中就地接受医疗保健。他们强调，在住宅式老年护理设施中提供的 MXS 需要与其他环境中的 X 光检查质量相当。需要提高对移动 X 光服务的认识。
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