社区慢性病老人以家庭为中心的护理体验:对患者、家属、护士和志愿者的定性研究。

IF 2.6 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Equity Pub Date : 2024-06-05 eCollection Date: 2024-01-01 DOI:10.1089/heq.2024.0009
Ah Yusuf, Jenny Marlindawani Purba, Dewi Eka Putri, Ronal Surya Aditya, Abdullah Saleh Alruwaili, Daifallah M AlRazeeni
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引用次数: 0

摘要

导 言家庭、社区必须成为老年人护理的重要组成部分。然而,大多数老年人的心理健康和生活质量都有所下降。这与 "以家庭为中心的护理(FCC)"模式的理念不符,并可能危及患有慢性疾病的老年人的生活质量:本研究旨在探讨慢性病患者、护士、家属和志愿者对 FCC 的体验:本研究对基于情境的 FCC 模式进行了定性研究。对 12 名老人、3 名护士、10 名家庭成员和 3 名志愿者进行了深入访谈和焦点小组讨论。总共对 36 人进行了深入访谈,其中有几人是 FGD 的参与者。采用主题分析法对数据进行分析,并将代码归纳为更大的主题:共进行了 36 次访谈和 FGD。信息互动概念、情感互动现象、实际互动以及促进或阻碍互动的各种因素被视为四个重要主题:在父母、护士、家人和志愿者之间的互动中发现,FCC 的接受度并不乐观。社区护士和志愿者之间缺乏沟通与合作。为制定和实施干预措施提供了新的视角,这些干预措施可促进积极的互动,减轻家庭负担,为患有慢性病的父母提供高质量的治疗,并提高晚期慢性病患者的护理质量:这些见解为如何在这种情况下制定和实施有效的干预措施提供了新的视角。建议:这些见解为如何在这种情况下制定和实施有效的干预措施提供了崭新的视角。建议未来的研究应采用多种方法来调查针对老年人群的各种健康实践中的 FCC。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Family-Centered Care Experiences in Elderly with Chronic Diseases in Communities: Qualitative Study of Patients, Families, Nurses, and Volunteers.

Introduction: The family, at community, must be an important part of elderly care. However, most of the elderly experience a decrease in psychological well-being and quality of life. This is not in accordance with the concept of the family-centered care (FCC) model and can endanger the continuity of the elderly with chronic illnesses.

Objective: The aim of this study was to explore experience of FCC among patients with chronic illness, nurses, families, and volunteers.

Methods: This study examines the contextual-based FCC model qualitatively. In-depth interviews and focus group discussions were conducted by 12 elderly people, 3 nurses, 10 family members, and 3 volunteers. In total, 36 people, where several were FGD participants, were also interviewed in depth. Data were analyzed using thematic analysis, with codes organized into larger themes.

Result: In total, 36 interviews and FGDs were conducted. The concept of information interaction, the phenomenon of emotional interaction, the practical interaction, and various factors that can either facilitate or impede interaction, were considered the four significant themes.

Conclusion: FCC acceptance is found in interactions between parents, nurses, family, and volunteers who are not optimistic. Lack of communication and collaboration was noted between community nurses and volunteers. Offer a new perspective on developing and implementing interventions that facilitate positive interactions, reduce family burdens, provide high-quality treatment for parents with chronic diseases, and improve the quality of care for those with advanced chronic conditions.

Recommendation: These insights provide a fresh perspective on how to develop and implement effective interventions in this context. It is recommended that future research should employ multiple methodologies to investigate FCC across diverse health practices for the elderly population.

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来源期刊
Health Equity
Health Equity Social Sciences-Health (social science)
CiteScore
3.80
自引率
3.70%
发文量
97
审稿时长
24 weeks
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