Khemai Chandni, Meijers Judith M, Bolt Sascha R, Pieters Sabine, Janssen Daisy J A, Schols Jos M G A
Department of Health Services Research, Care and Public Health Research Institute, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
Zuyderland Care, Zuyderland Medical Centre, Sittard-Geleen, the Netherlands.
Aging Ment Health. 2023 Nov-Dec;27(12):2410-2419. doi: 10.1080/13607863.2023.2226079. Epub 2023 Jun 24.
Interprofessional collaboration (IPC) within and during movements between care settings is crucial for optimal palliative dementia care. The objective of this study was to explore the experiences of persons with dementia regarding collaboration with and between healthcare professionals (HCPs) and their perceptions of a possible future move to the nursing home (NH) in palliative dementia care. We conducted a cross-sectional qualitative study and performed semi-structured interviews with a purposive sample of persons with dementia living at home ( = 18). Data analysis involved content analysis. Our study demonstrated that even though most persons with dementia find it difficult to perceive the collaboration amongst HCPs, they could describe their perceived continuity of care (). Their core needs in collaboration with HCPs were receiving information, support from informal caregivers, personal attention and tailored care (). Regarding a possible future move to the NH, persons with dementia cope with their current decline, future decline and a possible future move to the NH (). They also prefer to choose the NH, and continue social life and activities in their future NH (). Persons with dementia are collaborative partners who could express their needs and preferences, if they are willing and able to communicate, in the collaboration with HCPs and a possible future move to the NH.
在不同护理环境之间的转换过程中以及在护理期间进行跨专业协作(IPC)对于优化姑息性痴呆症护理至关重要。本研究的目的是探讨痴呆症患者在与医疗保健专业人员(HCPs)协作以及他们对未来可能转至养老院(NH)接受姑息性痴呆症护理的看法方面的经历。我们进行了一项横断面定性研究,并对18名居家痴呆症患者进行了有目的抽样的半结构化访谈。数据分析采用内容分析法。我们的研究表明,尽管大多数痴呆症患者难以察觉到医疗保健专业人员之间的协作,但他们能够描述他们所感知到的护理连续性。他们在与医疗保健专业人员协作方面的核心需求是获得信息、来自非正式护理人员的支持、个人关注以及个性化护理。关于未来可能转至养老院,痴呆症患者应对他们当前的衰退、未来的衰退以及未来可能转至养老院的情况。他们也更倾向于选择养老院,并在未来的养老院中继续社交生活和活动。如果痴呆症患者愿意且能够沟通,他们是跨专业协作伙伴,能够在与医疗保健专业人员协作以及未来可能转至养老院的过程中表达自己的需求和偏好。