Department of Nursing, Kurume University Graduate School of Medicine, 777-1 Higashikushiharamachi, Kurume-Shi, Fukuoka, 830-0003, Japan.
Department of Nursing, School of Medicine, Kurume University, 777-1 Higashikushiharamachi, Kurume-Shi, Fukuoka, 830-0003, Japan.
BMC Public Health. 2024 Nov 4;24(1):3046. doi: 10.1186/s12889-024-20489-7.
Owing to advances in medical technology and the promotion of at-home medical care, patients are more frequently being treated in their places of daily living after discharge from acute care hospitals. As medical care and lifestyle are closely linked, the quality of life of the patient and their families therefore depends on the adequate preparation of the recovery environment. Hence, modifying this environment to ensure that the patient's lifestyle and medical care are complementary is often vital. This study aimed to clarify the concept of recovery environments in places of daily living.
The literature search and selection of articles were based on a scoping review conducted in Scopus and PubMed, while data extraction and analysis were based on conceptual analysis. Thirty-two articles met the inclusion criteria.
Our analysis of these articles allowed us to classify four types of recovery environments in places of daily living: physical environments appropriate to the health status of the recovering patient, collaborative environments in which intra-family roles are empowered, community environments in which recovering patients are accepted, and service environments in which the required services can be accessed. We also noted the main roles of medical professionals for building relationships with patients: providing decision-making support in places of daily living, creating an environment that empowers patients and their families, and modifying the service environment.
For patients, the main aims of recovery environments in places of daily living are to make them physically comfortable, maintain their identity, and improve their quality of life. Although this study is only a first step towards conceptualizing recovery environments in places of daily living and the final results are tentative, we are nonetheless confident that it will be important for advancing the field of home healthcare research.
由于医疗技术的进步和居家医疗的推广，患者在从急性护理医院出院后，更多地在日常生活场所接受治疗。由于医疗保健和生活方式密切相关，因此患者及其家属的生活质量取决于康复环境的充分准备。因此，调整这种环境以确保患者的生活方式和医疗保健相辅相成通常至关重要。本研究旨在阐明日常生活场所的康复环境概念。
文献检索和文章选择基于 Scopus 和 PubMed 进行的范围综述，而数据提取和分析则基于概念分析。有 32 篇文章符合纳入标准。
我们对这些文章的分析使我们能够将日常生活场所的康复环境分为四种类型：适合康复患者健康状况的物理环境、赋予家庭内部角色权力的协作环境、接受康复患者的社区环境以及可以访问所需服务的服务环境。我们还注意到医疗专业人员在与患者建立关系方面的主要作用：在日常生活场所提供决策支持，创造赋予患者及其家属权力的环境，以及调整服务环境。
对于患者来说，日常生活场所康复环境的主要目标是使他们身体舒适、保持身份认同和提高生活质量。尽管这项研究只是对日常生活场所康复环境进行概念化的第一步，最终结果还不确定，但我们相信它将对推进家庭医疗保健研究领域具有重要意义。
