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老年患者对瑞典救护车服务的看法:一项定性探索性研究。

Older patients' perceptions of the Swedish ambulance service: A qualitative exploratory study.

作者信息

Rantala Andreas, Sterner Anders, Frank Catharina, Heinrich Elsa, Holmberg Bodil

机构信息

Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden; Department of Ambulance Service, Region Skåne, Helsingborg, Sweden; Centre of Interprofessional Cooperation within Emergency Care (CICE), Linnaeus University, Växjö, Sweden.

Centre of Interprofessional Cooperation within Emergency Care (CICE), Linnaeus University, Växjö, Sweden; Faculty of Caring Sciences, Work Life and Social Welfare, University of Borås, Borås, Sweden.

出版信息

Australas Emerg Care. 2023 Sep;26(3):249-253. doi: 10.1016/j.auec.2023.01.005. Epub 2023 Feb 8.

DOI:10.1016/j.auec.2023.01.005
PMID:36764911
Abstract

BACKGROUND

As worldwide life expectancy increases, the Swedish Ambulance Service is likely to be affected by the demographic shift towards a larger proportion of older persons. An older population tends to increase the demand for ambulances, indicating a need to illuminate older patients' perspective. Thus, the aim of this study was to explore older patients' perceptions of the Swedish Ambulance Service.

METHODS

This interview study employed a descriptive qualitative design with a phenomenographic approach in accordance with Dahlgren and Fallsberg.

RESULTS

Three main descriptive categories emerged to describe the underlying conceptions in the interviews; A double-edged encounter, Trust is created by perceived competence, and Safety through accessibility in vulnerable situations.

CONCLUSION

Older patients described trust in ambulance clinicians as a prerequisite for feeling safe enough to share their feelings and allow a bodily examination. However, they also criticized the care provided because they questioned the need for certain actions.

摘要

背景

随着全球预期寿命的增加,瑞典救护服务可能会受到人口结构向老年人口比例更大转变的影响。老年人口往往会增加对救护车的需求,这表明有必要阐明老年患者的观点。因此,本研究的目的是探讨老年患者对瑞典救护服务的看法。

方法

本访谈研究采用描述性定性设计,根据达尔格伦和福尔斯伯格的方法采用现象学方法。

结果

出现了三个主要描述类别来描述访谈中的潜在概念;双刃剑式的相遇、通过感知能力建立信任以及在脆弱情况下通过可达性实现安全。

结论

老年患者将对救护临床医生的信任描述为感到足够安全以分享感受并允许进行身体检查的先决条件。然而,他们也批评了所提供的护理,因为他们质疑某些行动的必要性。

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