Zhang Taomei, Wen Xi, Jin Yuanyuan, Lin Lu, Li Huiling
School of Nursing, Suzhou Medical College, Soochow University, No. 1 Shizi Street, Suzhou, CEP: 215006, China.
The First Affiliated Hospital of Soochow University/School of Nursing, Soochow University, No. 1 Shizi Street, Suzhou 215006, China.
Int J Integr Care. 2024 Dec 13;24(4):12. doi: 10.5334/ijic.8592. eCollection 2024 Oct-Dec.
The number of older adults living with dementia is increasing in China and worldwide. There is limited attention paid to dementia care in nursing homes, and this study aimed to explore the current situation and challenges of providing integrated care services in nursing home settings.
A 3-month focused ethnographic study, including semi-participatory observations and in-depth interviews, was conducted in a nursing home in Suzhou, China, from June to August 2022. Twelve residents and sixteen caregivers were observed, and sixteen observed caregivers were interviewed. The Rainbow Model guided data collection. Deductive analysis was used to examine the integrated care services, and a combination of deductive and inductive analysis was applied to explore the challenges.
The Combination of Medical and Elderly care and Medical Consortia were two main integrated care services. Eighteen challenges that threatened integrated care were identified. The nursing homes mainly faced professional and clinical challenges, while Medical Consortia encountered challenges at all levels, especially the organizational level.
The integrated care services of residents living with dementia should be further strengthened. Policymakers, caregivers, and researchers should make more precise efforts to address the challenges that threaten integrated care services, thereby promoting better services for residents.
在中国和全球范围内，患有痴呆症的老年人数量正在增加。养老院对痴呆症护理的关注有限，本研究旨在探讨养老院提供综合护理服务的现状和挑战。
2022年6月至8月，在中国苏州的一家养老院进行了为期3个月的重点人种学研究，包括半参与式观察和深入访谈。观察了12名居民和16名护理人员，并对16名被观察的护理人员进行了访谈。采用彩虹模型指导数据收集。使用演绎分析来检查综合护理服务，并采用演绎和归纳分析相结合的方法来探索挑战。
医养结合和医联体是两种主要的综合护理服务。确定了18个威胁综合护理的挑战。养老院主要面临专业和临床挑战，而医联体在各个层面都遇到挑战，尤其是组织层面。
应进一步加强痴呆症患者的综合护理服务。政策制定者、护理人员和研究人员应更加精准地努力应对威胁综合护理服务的挑战，从而为居民提供更好的服务。
