Xiang Ya Nursing School, Central South University, Changsha, Hunan, China.
Xiang Ya Second Hospital of Central South University, Changsha, Hunan, China.
Front Public Health. 2023 Feb 16;11:973827. doi: 10.3389/fpubh.2023.973827. eCollection 2023.
In China, as population aging accelerates, senior care facilities have gradually become a mainstream option. According to the World Health Organization (WHO), the annual rate of falls has increased from 30 to 50% in senior care facilities. A study found that older adults who live in senior care facilities are three times more likely to fall than those who live in the community. The quality of care is highly related to the occurrence of falls. Therefore, exploring paid caregivers' experiences is very important to prevent falls in senior care facilities.
The aim of this study was to explore paid caregivers' experiences of fall prevention and care in China's senior care facilities. Furthermore, we discussed the situation and provided suggestions.
This is a phenomenological study using face-to-face, in-depth, semi-structured interviews.
The study was conducted at senior care facilities in Changsha, Hunan, China.
Fourteen paid caregivers in four senior care facilities, including nursing assistants and senior nurses, participated in this study.
A purposive sample method was used to select 14 nursing assistants and senior nurses from four different senior care facilities in Changsha from March to April 2022. Every participant individually completed a face-to-face, in-depth, semi-structured interview. Based on the phenomenological research methodology, the thematic analysis method and the Colaizzi analysis method were used for data analysis and theme extraction.
Based on interview data, a total of seven themes were distilled: (1) paid caregivers' professional requirements; (2) paid caregivers' attitude toward falls; (3) paid caregivers' fall training and education; (4) paid caregivers' knowledge about falls; (5) paid caregivers' fall risk assessment; (6) paid caregivers' fall prevention; and (7) paid caregivers' fall treatment.
In China's senior care facilities, paid caregivers to need to be responsible and pay appropriate attention to older adults. First, senior nurses and nursing assistants need to enhance communication and cooperation. Second, they must learn about deficiencies in fall risk assessment and try their best to improve their capability. Third, they must adopt appropriate education methods to improve fall prevention capability. Finally, the protection of privacy should be taken seriously.
在中国，随着人口老龄化的加速，养老院逐渐成为主流选择。世界卫生组织（WHO）的数据显示，养老院的跌倒发生率已从 30%上升至 50%。一项研究发现，住在养老院的老年人跌倒的可能性是住在社区的老年人的三倍。护理质量与跌倒的发生高度相关。因此，探索护工预防老年人跌倒的经验对于预防养老院跌倒非常重要。
本研究旨在探讨中国养老院护工预防和护理老年人跌倒的经验，并讨论现状，提出建议。
这是一项采用面对面、深入、半结构化访谈的现象学研究。
中国湖南长沙的养老院。
本研究共有来自长沙 4 家养老院的 14 名护工参与，包括护理助理和高级护士。
采用目的抽样法，于 2022 年 3 月至 4 月，从长沙的 4 家不同养老院中选择 14 名护理助理和高级护士作为研究对象。每位参与者单独完成了一次面对面、深入、半结构化的访谈。根据现象学研究方法，采用主题分析法和科拉兹分析法进行数据分析和主题提取。
基于访谈数据，共提炼出 7 个主题：（1）护工的专业要求；（2）护工对跌倒的态度；（3）护工的跌倒培训和教育；（4）护工对跌倒的认知；（5）护工对跌倒风险的评估；（6）护工的跌倒预防；（7）护工的跌倒处理。
在中国的养老院中，护工需要对老年人负责并给予适当关注。首先，高级护士和护理助理需要加强沟通与合作。其次，他们必须了解跌倒风险评估方面的不足，并尽力提高自身能力。第三，他们必须采用适当的教育方法来提高跌倒预防能力。最后，要重视对隐私的保护。
