PhD Program, University of Lisbon (UL) and Nursing School of Lisbon (ESEL), Lisboa 1600-214, Portugal.
Egas Moniz Interdisciplinary Research Centre (CiiEM), Egas Moniz Universitary Institute, Quinta da Granja, Monte de Caparica 2829-511, Portugal.
BMC Geriatr. 2024 Aug 29;24(1):714. doi: 10.1186/s12877-024-05261-1.
The growing aging trend associated with a higher prevalence of chronic illnesses is increasing the demand for the development of person-centered practice in specific care settings. Knowing the person's perception of the care and the care experience is essential to improving inpatient care toward person-centeredness. This study aims to characterize the perceptions of person-centered practice of hospitalized older adults with chronic illness at a Portuguese inpatient hospital department.
A quantitative, descriptive, cross-sectional approach was followed. Data were collected using a sociodemographic and health history questionnaire and the Person-Centered Practice Inventory - Care (PCPI-C). The effect of the different variables on each PCPI-C construct was determined using analysis of variance (ANOVA).
The results show that person-centered practice was positively perceived in the five constructs of the person-centered processes domain (M = 3.92; SD = 0.47). The highest-scored construct was working with the person's beliefs and values (M = 4.12; SD = 0.51), and the lowest was working holistically (M = 3.68; SD = 0.70). No significant effect of the independent variables was found to influence the perceptions of any of the constructs in the person-centered processes domain.
These results might indicate that person-centered processes are perceived uniquely by each person through individualized therapeutic relationships rather than a pattern of care shared by hospitalized older adults.
与慢性病患病率较高相关的老龄化趋势不断增长,这增加了在特定护理环境中发展以患者为中心的实践的需求。了解患者对护理的看法和护理体验对于将住院护理朝着以患者为中心的方向改进至关重要。本研究旨在描述葡萄牙一家住院医院部门中患有慢性病的住院老年患者对以患者为中心的实践的看法。
采用定量、描述性、横断面研究方法。使用社会人口学和健康史问卷以及以人为中心的实践量表-护理(PCPI-C)收集数据。使用方差分析(ANOVA)确定不同变量对每个 PCPI-C 结构的影响。
结果表明,以人为中心的实践在以人为中心的过程领域的五个结构中得到了积极的感知(M=3.92;SD=0.47)。得分最高的结构是与患者的信仰和价值观合作(M=4.12;SD=0.51),得分最低的是全面工作(M=3.68;SD=0.70)。独立变量对以人为中心的过程领域中任何结构的感知均无显著影响。
这些结果可能表明,以人为中心的过程是通过个体化的治疗关系被每个人独特感知的,而不是住院老年患者共享的护理模式。