Dobarrio-Sanz Iria, Chica-Pérez Anabel, López-Entrambasaguas Olga María, Martínez-Linares José Manuel, Granero-Molina José, Hernández-Padilla José Manuel
Department of Nursing, Physiotherapy and Medicine, University of Almeria, Almeria, 04120, Spain.
Emera Nursing and Residential Home for Older Adults, Almería, 04007, Spain.
BMC Nurs. 2024 Jun 28;23(1):444. doi: 10.1186/s12912-024-02117-2.
Nurse-led preventive home visiting programmes can improve health-related outcomes in community-dwelling older adults, but they have not proven to be cost-effective. Home visiting programmes led by nursing students could be a viable alternative. However, we do not know how community-dwelling older adults with chronic multimorbidity experience home visiting programmes in which nursing students carry out health promotion activities. The aim of the study is to understand how community-dwelling older adults with chronic multimorbidity experience a home visiting programme led by nursing students.
A qualitative study based on Gadamer's hermeneutics. Thirty-one community-dwelling older adults with chronic multimorbidity were interviewed in-depth. Fleming's method for conducting hermeneutic, Gadamerian-based studies was followed and ATLAS.ti software was used for data analysis.
Two main themes were generated: (1) 'The empowering experience of a personalised health-promoting intervention', and (2) 'The emancipatory effect of going beyond standardised self-care education'.
The home visiting programme contributed to the community-dwelling older adults feeling more empowered to engage in health-promoting self-care behaviours. It also improved the older adults' sense of autonomy and self-efficacy, while reducing their loneliness and addressing some perceived shortcomings of the healthcare system.
Older adults participating in a home visiting programme led by nursing students feel empowered to implement self-care behaviours, which has a positive impact on their perceived health status. Nurse leaders and nursing regulatory bodies could collaborate with nursing faculties to integrate preventive home visiting programmes led by nursing students into the services offered to community-dwelling older adults with chronic multimorbidity.
由护士主导的预防性家访计划可以改善社区老年人与健康相关的结果，但尚未证明其具有成本效益。由护理专业学生主导的家访计划可能是一个可行的替代方案。然而，我们并不清楚患有慢性多种疾病的社区老年人如何体验护理专业学生开展健康促进活动的家访计划。本研究的目的是了解患有慢性多种疾病的社区老年人如何体验护理专业学生主导的家访计划。
一项基于伽达默尔诠释学的定性研究。对31名患有慢性多种疾病的社区老年人进行了深入访谈。遵循弗莱明进行基于伽达默尔诠释学研究的方法，并使用ATLAS.ti软件进行数据分析。
产生了两个主要主题：（1）“个性化健康促进干预的赋能体验”，以及（2）“超越标准化自我护理教育的解放效应”。
家访计划有助于社区老年人更有能力参与促进健康的自我护理行为。它还提高了老年人的自主感和自我效能感，同时减少了他们的孤独感，并解决了他们所感受到的医疗保健系统的一些不足之处。
参与护理专业学生主导的家访计划的老年人感到有能力实施自我护理行为，这对他们感知到的健康状况产生了积极影响。护士领导者和护理监管机构可以与护理学院合作，将护理专业学生主导的预防性家访计划纳入为患有慢性多种疾病的社区老年人提供的服务中。
