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对患有多种疾病及提供相关护理的认知与体验:一项定性访谈研究

Perceptions and experiences of living with and providing care for multimorbidity: A qualitative interview study.

作者信息

Simpson Glenn, Morrison Leanne, Santer Miriam, Hijryana Marisza, Farmer Andrew, Dambha-Miller Hajira

机构信息

Primary Care Research Centre, University of Southampton, Southampton, UK.

School of Psychology, University of Southampton, Southampton, UK.

出版信息

J Multimorb Comorb. 2024 Mar 24;14:26335565241240820. doi: 10.1177/26335565241240820. eCollection 2024 Jan-Dec.

Abstract

BACKGROUND

Experiences of living with and seeking care for multimorbidity is a relatively under-researched field. By analysing experiences of people with multimorbidity, caregivers and care professionals, we can better understand the complex care needs of those with multimorbidity and identify improvements to care management. This paper reports findings from research that elicited the views of key stakeholders to inform future care practice and policy.

AIM

To elicit care recipient and care provider views to understand the care needs of those living with and seeking care for multimorbidity.

METHOD

A qualitative interview study using purposive sampling of those living with and providing care in multimorbidity.

RESULTS

Increased support to those with multimorbidity and caregivers to navigate care systems was advocated. Establishing trusting care relationships featured prominently in participants accounts. Fragmented care, inadequate coordination and poor communication between care providers, were identified as system-wide challenges. There was agreement that integrated care models were needed, which delivered personalised care, such as shared decision-making, choice in care options and accessing services, and individualised care plans.

CONCLUSION

We found significant agreement among stakeholders on care need and management in multimorbidity. Understanding the experiences of those with multimorbidity, caregivers and care professionals, can inform future improvements in care management.

摘要

背景

患有多种疾病并寻求护理的经历是一个研究相对不足的领域。通过分析患有多种疾病的患者、护理人员和护理专业人员的经历,我们可以更好地理解患有多种疾病者的复杂护理需求,并确定护理管理方面的改进措施。本文报告了一项研究的结果,该研究征求了关键利益相关者的意见,以为未来的护理实践和政策提供参考。

目的

征求接受护理者和护理提供者的意见,以了解患有多种疾病并寻求护理者的护理需求。

方法

采用目的抽样法,对患有多种疾病的患者及其护理者进行定性访谈研究。

结果

提倡为患有多种疾病的患者及其护理者提供更多支持,以帮助他们应对护理系统。建立信任的护理关系在参与者的叙述中占据显著地位。护理提供者之间护理分散、协调不足和沟通不畅被确定为全系统面临的挑战。大家一致认为需要综合护理模式,这种模式应提供个性化护理,如共同决策、护理选择和服务获取方面的选择以及个性化护理计划。

结论

我们发现利益相关者在多种疾病的护理需求和管理方面存在重大共识。了解患有多种疾病者、护理人员和护理专业人员的经历,可以为未来护理管理的改进提供参考。

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