有听力障碍的医疗保险受益人对医护人员互动的看法及陪同人员的作用。

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Journal of gerontological nursing Pub Date : 2024-11-01 Epub Date: 2024-09-25 DOI:10.3928/00989134-20240918-02
Laura G Wallace, Katherine N Menon, Emmanuel E Garcia Morales, John J Shin, Elizabeth R Kolberg, Clarice Myers, Jennifer A Deal, Nicholas S Reed
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引用次数: 0

摘要

目的:听力障碍(HT)会影响患者与医疗服务提供者(HCPs)的沟通,并可能导致负面的医疗体验,从而影响健康结果。本研究旨在探讨听力障碍如何影响患者对医疗服务提供者互动的看法,以及在就医期间有陪同者是否会改变患者对医疗服务提供者互动的看法:这项横断面研究分析了 9104 份来自 2016 年医疗保险当前受益人调查的回复:与没有高血压的受益人相比,有高血压的受益人对医护人员的互动有更高的负面看法。患有高血压的受益人不同意关于医疗服务的积极说法的几率更大,包括医疗服务提供者的能力、医疗服务提供者会关心地检查一切、医疗服务提供者的回应以及医疗服务提供者很少匆忙。研究发现,在就诊时有陪伴者并不会明显改善对互动的看法:研究结果表明,视力障碍是影响医护沟通的一个可调节因素。在临床实践中实施简单的适应策略可以改善对患有 HT 的老年人的护理。[老年护理学杂志,xx(xx),xx-xx]。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perceptions of Health Care Provider Interactions Among Medicare Beneficiaries With Hearing Trouble and the Role of an Accompanying Companion.

Purpose: Hearing trouble (HT) impairs communication with health care providers (HCPs) and may lead to negative care experiences that impact health outcomes. The current study aimed to examine how HT influences patient perceptions of provider interactions and whether having an accompanying companion during health care visits modifies perceptions of provider interactions.

Method: This cross-sectional study analyzed 9,104 responses from the 2016 Medicare Current Beneficiary Survey.

Results: Compared to beneficiaries without HT, those with HT had greater odds of negative perceptions of HCP interactions. Beneficiaries with HT had greater odds of disagreeing with positive statements about care, including provider competence, provider cares to check everything, provider response, and provider rarely in a hurry. Having an accompanying companion during health care visits was not found to significantly modify perceptions of interactions.

Conclusion: Findings suggest HT is a modifiable factor impacting health care communication. Implementing simple accommodation strategies in clinical practice can improve nursing care for older adults with HT. [Journal of Gerontological Nursing, 50(11), 29-35.].

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来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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