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老年社区居民对以患者为中心的护理的体验。

Experiences of Patient-Centered Care Among Older Community-Dwelling Australians.

机构信息

Health Behaviour Research Collaborative, School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW, Australia.

Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia.

出版信息

Front Public Health. 2022 Jun 14;10:912137. doi: 10.3389/fpubh.2022.912137. eCollection 2022.

DOI:10.3389/fpubh.2022.912137
PMID:35774564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9237321/
Abstract

BACKGROUND

Older adults represent the largest consumers of health care. It is, therefore, important that they receive adequate patient-centered care to empower them to be proactive in managing their health.

AIMS

This study examined the proportion of older community-dwelling individuals who report receiving patient-centered care during healthcare consultations.

METHODS

A cross-sectional study was conducted with 117 clients of an Australian aged care provider. Clients completed a survey examining their perceptions of whether they received patient-centered care (11-items) from healthcare professionals.

RESULTS

The mean number of patient-centered care items reported was 8.7 (±3.1). Speaking to the patient with respect was the item most often reported to be patient-centered (94%). Asking patients about treatment goals or expectations (62%) and how involved they would like to be in treatment (67%) were the items least reported to be patient-centered.

CONCLUSION

Older adults perceived some important aspects of care were not provided with a patient-centered approach. There is a need to improve healthcare providers' elicitation of older patients' care preferences, enabling patients to determine their level of involvement in their health management.

摘要

背景

老年人是医疗保健的最大消费者。因此,为了赋予他们积极管理自身健康的能力,为他们提供充分的以患者为中心的护理至关重要。

目的

本研究调查了在医疗保健咨询期间报告接受以患者为中心的护理的老年社区居民的比例。

方法

对澳大利亚老年护理机构的 117 名客户进行了横断面研究。客户完成了一项调查,调查他们对是否从医疗保健专业人员那里获得以患者为中心的护理(11 项)的看法。

结果

报告的以患者为中心的护理项目的平均数量为 8.7(±3.1)。尊重患者是最常被报告为以患者为中心的项目(94%)。询问患者关于治疗目标或期望(62%)以及他们希望在多大程度上参与治疗(67%)是报告最少的以患者为中心的项目。

结论

老年人认为一些重要的护理方面没有以以患者为中心的方式提供。需要提高医疗保健提供者了解老年患者护理偏好的能力,使患者能够确定自己在健康管理中的参与程度。

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A systematic review on implementation of person-centered care interventions for older people in out-of-hospital settings.系统评价:在院外环境中实施以老年人为中心的护理干预措施
Geriatr Nurs. 2021 Jan-Feb;42(1):213-224. doi: 10.1016/j.gerinurse.2020.08.004. Epub 2020 Aug 27.
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Improving Person-Centredness in Integrated Care for Older People: Experiences from Thirteen Integrated Care Sites in Europe.提升老年人综合照护中的以人为本:欧洲13个综合照护场所的经验
Int J Integr Care. 2020 Jun 26;20(2):16. doi: 10.5334/ijic.5427.
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Evaluation of RESPOND, a patient-centred program to prevent falls in older people presenting to the emergency department with a fall: A randomised controlled trial.评价 RESPOND,这是一个以患者为中心的项目,旨在预防因跌倒而到急诊科就诊的老年人跌倒:一项随机对照试验。
PLoS Med. 2019 May 24;16(5):e1002807. doi: 10.1371/journal.pmed.1002807. eCollection 2019 May.
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