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评估居家环境中老年人的需求:患者、护理人员及家庭护士的观点

Assessing the Needs of Elderly People in a Home Environment: Perspectives from Patients, Caregivers, and a Family Nurse.

作者信息

Szewczyczak Marlena, Talarska Dorota, Strugała Magdalena, Talarska-Kulczyk Patrycja, Kawecka Kamila, Wieczorowska-Tobis Katarzyna, Tobis Sławomir

机构信息

Department of Preventive Medicine, Faculty of Health Sciences, University of Medical Sciences, 60-608 Poznań, Poland.

Department of Immunobiology, Poznań University of Medical Sciences, 60-608 Poznań, Poland.

出版信息

Healthcare (Basel). 2025 Apr 9;13(8):860. doi: 10.3390/healthcare13080860.

Abstract

Social demographic changes contribute to increased life expectancy and disability. The ability to maintain independence depends on receiving appropriate support. This study aimed to analyze the needs of individuals over 75 years of age living in a home environment. A cross-sectional study assessed support needs from the perspectives of the patient, caregiver, and researcher. The following research tools were used: Camberwell Assessment of Need for the Elderly (CANE), Mini-Mental State Examination (MMSE), Barthel Index, and Geriatric Depression Scale (GDS). The average total number of needs reported by the patients was 5.0 ± 2.9, by caregivers 6.63 ± 2.98, and by researchers 5.76 ± 3.43. The most frequently reported unmet needs were related to Accommodation, Company, and Eyesight/Hearing/Communication. A higher number of met needs ( = 0.006) and total needs ( = 0.011) was observed in individuals aged 85 and older and in seniors who had a caregiver ( < 0.001). Lower functional ability was an indicator of a higher number of met needs ( < 0.001). Cognitive function did not affect the number of reported needs. A correlation was found between the number of needs and depressive symptoms. The total number of needs reported by patients was significantly lower than the number reported by healthcare personnel and caregivers. The CANE questionnaire enabled the identification of individual care needs in the elderly. Although unmet needs were in areas that could be easily addressed, elderly individuals did not receive adequate support. Researchers and caregivers identified more met and unmet needs than the elderly individuals themselves.

摘要

社会人口结构变化导致预期寿命延长和残疾情况增加。维持独立生活的能力取决于获得适当的支持。本研究旨在分析居住在家庭环境中的75岁以上老年人的需求。一项横断面研究从患者、照顾者和研究人员的角度评估了支持需求。使用了以下研究工具:坎伯韦尔老年人需求评估量表(CANE)、简易精神状态检查表(MMSE)、巴氏指数和老年抑郁量表(GDS)。患者报告的平均总需求数为5.0±2.9,照顾者为6.63±2.98,研究人员为5.76±3.43。最常报告的未满足需求与住宿、陪伴以及视力/听力/沟通有关。在85岁及以上的老年人以及有照顾者的老年人中,满足的需求数量(P = 0.006)和总需求数量(P = 0.011)更高(P < 0.001)。功能能力较低表明满足的需求数量较多(P < 0.001)。认知功能不影响报告的需求数量。需求数量与抑郁症状之间存在相关性。患者报告的总需求数量显著低于医护人员和照顾者报告的数量。CANE问卷能够识别老年人的个体护理需求。尽管未满足的需求存在于容易解决的领域,但老年人并未得到充分的支持。研究人员和照顾者识别出的已满足和未满足需求比老年人自己识别出的更多。

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