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新冠阳性老年患者的居家隔离护理:以照顾者为中心的解释框架。

Home-Isolation Care in Newly COVID-19-Positive Elderly Patients: A Caregiver-Centric Explanatory Framework.

机构信息

Dr. B. C. Roy Multi-Speciality Medical Research Centre, Indian Institute of Technology Kharagpur, Kharagpur, West Bengal, India.

Department of Community Medicine, Medical College and Hospital, Kolkata, West Bengal, India.

出版信息

Int J Public Health. 2023 Jul 19;68:1606060. doi: 10.3389/ijph.2023.1606060. eCollection 2023.

Abstract

This community-based study aimed to identify the effect of different behavioral factors of family caregivers on the decision for home-isolation-based treatment of a new COVID-19-diagnosed elderly individual. It also explored the facilitators and barriers contributing to the decision-making process. A mixed-methods design was adopted to study the role of behavioral constructs such as risk tolerance, risk aversion, regret aversion, loss aversion, self-efficacy, and risk perception in healthcare-seeking decisions. By integrating the findings from the quantitative and qualitative parts, a framework was developed. Self-efficacy, risk perception, and risk tolerance related to different issues were crucial factors behind the healthcare decision. However, regarding the various issues under consideration, risk perception followed by risk tolerance were the significant predictors for decision-making. To enhance appropriateness and equity in emergency healthcare-seeking, interventions should target risk tolerance and risk perception, taking into account the awareness levels of caregivers and the target population's risk and regret aversion. Such integrated approaches can improve the quality of care for elderly patients in home-based settings.

摘要

本社区为基础的研究旨在确定家庭照顾者的不同行为因素对新冠确诊老年患者选择居家隔离治疗的决策的影响。同时,也探讨了促成决策过程的促进因素和障碍因素。研究采用混合方法设计,探讨了行为结构,如风险容忍度、风险规避、后悔规避、损失规避、自我效能和风险感知,在医疗保健决策中的作用。通过整合定量和定性部分的研究结果,制定了一个框架。自我效能、风险感知和与不同问题相关的风险容忍度是医疗决策背后的关键因素。然而,在考虑到各种问题的情况下,风险感知接着是风险容忍度是决策的重要预测因素。为了提高紧急医疗保健寻求的适当性和公平性,干预措施应针对风险容忍度和风险感知,同时考虑到照顾者的意识水平和目标人群的风险和后悔规避。这种综合方法可以提高老年患者居家环境中的护理质量。

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