Pesonen Tiina, Corneliusson Laura, Väisänen Visa, Siira Heidi, Edgren Johanna, Elo Satu, Sinervo Timo
Finnish Institute for Health and Welfare, Helsinki, Finland.
Research Unit of Health Sciences and Technology, University of Oulu, Oulu, Finland.
J Adv Nurs. 2024 Mar;80(3):1166-1176. doi: 10.1111/jan.15863. Epub 2023 Sep 14.
The aim of this study was to explore the relationship between sensory impairment and home care client's received care time.
A cross-sectional multi-source study.
Data from a self-reported staff survey on care time allocation were merged with registry data from the Resident Assessment Instrument registry (n = 1477). The data were collected during 1 week from 17 home care units in Finland in October 2021. The relationship between sensory impairment and clients received care time was examined using linear regression analyses.
The linear regression analyses showed that having vision impairment alone increased care time, while dual sensory impairment resulted in decreased received care time. Hearing impairment alone was not statistically significantly associated with care time.
The holistic care need of home care clients with dual sensory impairment may not be adequate. To ensure equality and the individually tailored care of clients, further attention must be paid to clients with sensory impairments, especially those with dual sensory impairment. Furthermore, the competence of home care workers to encounter and communicate with clients with sensory impairment must be developed to support the holistic care.
The sensory impairments of home care clients must be identified in time and considered in care planning and encountering clients.
As there is a risk that clients with dual sensory impairment are not able to fully express themselves, it is imperative that further attention is paid to clients with sensory impairments, to better understand and support this vulnerable group. Increased awareness and continuous education are needed to better identify and support home care clients with sensory impairment.
The study adheres to the STROBE reporting guidelines.
No patient or public contribution.
本研究旨在探讨感觉障碍与家庭护理客户接受护理时间之间的关系。
一项横断面多源研究。
将一份关于护理时间分配的自我报告员工调查数据与居民评估工具登记处的登记数据（n = 1477）合并。数据于2021年10月在芬兰的17个家庭护理单位的1周内收集。使用线性回归分析检查感觉障碍与客户接受护理时间之间的关系。
线性回归分析表明，仅患有视力障碍会增加护理时间，而双重感觉障碍则会导致接受护理时间减少。仅听力障碍与护理时间在统计学上无显著关联。
双重感觉障碍的家庭护理客户的整体护理需求可能不足。为确保平等和为客户提供个性化护理，必须进一步关注有感觉障碍的客户，尤其是那些有双重感觉障碍的客户。此外，必须提高家庭护理人员与有感觉障碍的客户接触和沟通的能力，以支持整体护理。
必须及时识别家庭护理客户的感觉障碍，并在护理计划和与客户接触时予以考虑。
由于双重感觉障碍的客户存在无法充分表达自己的风险，因此必须进一步关注有感觉障碍的客户，以更好地理解和支持这一弱势群体。需要提高认识并持续开展教育，以更好地识别和支持有感觉障碍的家庭护理客户。
本研究遵循STROBE报告指南。
无患者或公众贡献。
