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患者和公众参与项目,为英国医院信托的痴呆症护理提供信息。

A Patient and Public Engagement Project to Inform Dementia Care in a UK Hospital Trust.

机构信息

School of Health and Social Care, University of Essex, Wivenhoe Park, Colchester, UK.

School of Health and Social Care, University of Essex, Elmer Approach, Southend-on-Sea, Essex.

出版信息

Health Expect. 2024 Oct;27(5):e70024. doi: 10.1111/hex.70024.

Abstract

INTRODUCTION

The increasing prevalence of dementia in the United Kingdom presents significant challenges for healthcare, with projections estimating over a million affected individuals by 2025, costing the NHS £6.3 billion annually. Hospital admissions among dementia patients are common, occupying about 25% of UK hospital beds and leading to prolonged stays and diminished health outcomes.

METHOD

This paper presents the opening stages, part of a larger project where Patient and Public Involvement and Engagement (PPIE) was employed to understand and navigate what it means for hospital care for a person living with dementia. To understand hospital care for dementia patients, focus groups were conducted through dementia cafés in Essex and Suffolk from February to July 2023 engaging patients, carers and family members.

RESULTS

Recognised processes for reporting PPIE and thematic analysis were used and identified six themes and 21 subthemes regarding hospital care: individualised care, role of carers, basic care, interpersonal communication, information sharing and staffing.

DISCUSSION

The results from the PPIE will be used to inform and work with stakeholders through the next phases of the project, which involves examining care processes in the hospital, identifying touchpoints and evaluating these areas. The project continues to be informed by stakeholders including people living with dementia, carers and staff. Additionally, the results may inform other service providers for care enhancements, processes and delivery.

CONCLUSION

Moving forward, the study emphasises the importance of building collaborative relationships with stakeholders involved in dementia care. Additionally, it provides insights to focus areas that are fundamental for acute care organisations when delivering care to people living with dementia. By incorporating insights from PPIE, this project seeks to identify inequalities in dementia care services, improve hospital care for people living with dementia, fostering a more inclusive and supportive healthcare environment.

PATIENT OR PUBLIC CONTRIBUTION

The purpose of the study was to explore the most important issues around hospital care for people with dementia, their carers and families. Persons living with dementia, carers and family members were involved in the study through community dementia cafés and recruited to take part in focus groups to discuss hospital care for patients with dementia. The design of questions and materials for the discussions was developed through consultation with the university department's service user lead and dementia specialist and reviewed by a service user member living with dementia. A pilot focus group was conducted with a group of carers. We worked with the dementia café managers to coordinate recruitment and a suitable environment to run the focus groups.

TRIAL REGISTRATION

Not applicable.

摘要

简介

随着痴呆症在英国的患病率不断上升,这给医疗保健带来了重大挑战,预计到 2025 年,将有超过 100 万人受到影响,给国民保健制度(NHS)每年带来 63 亿英镑的成本。痴呆症患者的住院治疗很常见,约占英国医院床位的 25%,导致住院时间延长和健康状况恶化。

方法

本文介绍了一个更大项目的初始阶段,该项目采用患者和公众参与和参与(PPIE)来了解和应对对于患有痴呆症的人来说,医院护理意味着什么。为了了解痴呆症患者的医院护理,我们于 2023 年 2 月至 7 月在埃塞克斯和萨福克通过痴呆症咖啡馆进行了焦点小组,参与人员包括患者、护理人员和家庭成员。

结果

我们使用了公认的 PPIE 报告和主题分析方法,确定了六个主题和 21 个子主题,涉及医院护理:个性化护理、护理人员的角色、基本护理、人际沟通、信息共享和人员配备。

讨论

PPIE 的结果将用于通过项目的下一阶段与利益相关者进行沟通和合作,该阶段涉及检查医院的护理流程,确定接触点并评估这些领域。该项目继续由利益相关者提供信息,包括患有痴呆症的人、护理人员和工作人员。此外,研究结果可能为其他服务提供者提供护理改进、流程和服务提供信息。

结论

展望未来,该研究强调与参与痴呆症护理的利益相关者建立合作关系的重要性。此外,它为急性护理组织在为患有痴呆症的人提供护理时提供了关注的重点领域。通过纳入 PPIE 的见解,该项目旨在确定痴呆症护理服务中的不平等现象,改善患有痴呆症的人的医院护理,营造更具包容性和支持性的医疗环境。

患者或公众贡献

本研究的目的是探讨痴呆症患者、其护理人员和家属在医院护理方面最重要的问题。患有痴呆症的人、护理人员和家庭成员通过社区痴呆症咖啡馆参与研究,并被招募参加焦点小组,讨论痴呆症患者的医院护理。问题和讨论材料的设计是通过与大学部门的服务用户负责人和痴呆症专家协商制定的,并由一位患有痴呆症的服务用户进行了审查。我们与痴呆症咖啡馆经理合作,协调招募和开展焦点小组的合适环境。

试验注册

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3942/11386339/a35537f32436/HEX-27-e70024-g001.jpg

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