Patient-centred audiological rehabilitation: Perspectives of older adults who own hearing aids

Patient-centred audiological rehabilitation: Perspectives of older adults who own hearing aids
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DOI:
10.3109/14992027.2013.866280
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发表时间:
2014-02-01
影响因子:
2.7
通讯作者:
Davidson, Bronwyn
Davidson, Bronwyn
中科院分区:
医学3区
文献类型:
--
作者:
Grenness, Caitlin;Hickson, Louise;Davidson, Bronwyn

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目的:以病人为中心的护理是一个经常与优质医疗服务有关的术语。尽管广泛的文献,从一系列的医疗保健专业,提供以病人为中心的护理的描述和测量,听力康复的病人为中心的定义是缺乏的。目前的研究旨在从拥有助听器至少一年的老年人的角度定义以患者为中心的听力康复护理。设计图:研究访谈进行了有目的的样本老年人关于他们的看法,以病人为中心的听力康复,并进行了定性内容分析。研究样本:参与者样本包括10名60岁以上的成年人,他们拥有助听器至少一年。结果如下:数据分析揭示了以患者为中心的听力康复的三个方面:治疗关系,球员(听力学家和患者),和临床过程。个体化护理被视为连接这些维度的首要主题。结论:这项研究报告了两个模型:第一个模型描述了助听器的老年人认为以患者为中心的听力康复。第二个提供了一个指导,以病人为中心的护理操作。需要进一步的研究,以解决有关的存在,性质和以病人为中心的听力康复的影响的问题。
Objective: Patient-centred care is a term frequently associated with quality health care. Despite extensive literature from a range of health-care professions that provide description and measurement of patient-centred care, a definition of patient-centredness in audiological rehabilitation is lacking. The current study aimed to define patient-centred care specific to audiological rehabilitation from the perspective of older adults who have owned hearing aids for at least one year. Design: Research interviews were conducted with a purposive sample of older adults concerning their perceptions of patient-centredness in audiological rehabilitation, and qualitative content analysis was undertaken. Study sample: The participant sample included ten adults over the age of 60 years who had owned hearing aids for at least one year. Results: Data analysis revealed three dimensions to patient-centred audiological rehabilitation: the therapeutic relationship, the players (audiologist and patient), and clinical processes. Individualised care was seen as an overarching theme linking each of these dimensions. Conclusions: This study reported two models: the first model describes what older adults with hearing aids believe constitutes patient-centred audiological rehabilitation. The second provides a guide to operationalised patient-centred care. Further research is required to address questions pertaining to the presence, nature, and impact of patient-centred audiological rehabilitation.