PERCEPTIONS OF EMERGENCY CARE BY THE ELDERLY - RESULTS OF MULTICENTER FOCUS GROUP INTERVIEWS
PERCEPTIONS OF EMERGENCY CARE BY THE ELDERLY - RESULTS OF MULTICENTER FOCUS GROUP INTERVIEWS
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DOI：
10.1016/s0196-0644(05)81027-3
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发表时间：
1992-07-01
影响因子：
6.2
通讯作者：
WOLFSON, AB
中科院分区：
文献类型：
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作者：
BARAFF, LJ;BERNSTEIN, E;WOLFSON, AB
研究目的：了解老年人对急诊护理的认知，找出具体问题及解决方法。设计：焦点小组访谈。环境与参与者类型：波士顿社区老年人中心；洛杉矶;匹兹堡;俄亥俄州的扬斯敦;康涅狄格州的诺沃克。在过去一年中接受过紧急护理的老年人也参加了这项活动。测量和结果：参与者对他们的整体医疗护理感到满意。对病人和他们的家人来说，漫长的等待是一种痛苦。老年人不熟悉急救护理的流程。他们被伤病吓坏了。直到他们被告知他们的疾病的性质以及他们的治疗和处置方式，他们的焦虑才得到缓解。急诊科的环境经常让他们感到不舒服。结算过程造成了相当大的混乱。结论：老年人事先或同时接受急诊教育将会受益。工作人员应该对老年人感到的焦虑更加敏感，应该解释延迟护理的原因，以及会发生什么。应尽早告知病人病情的性质和严重程度。可以鼓励家人和朋友留在病人身边。帐单流程需要澄清和简化。
Study objective: To determine the elderly's perception of emergency care and to identify specific problems and solutions.Design: Focus group interviews.Setting and type of participants: Community senior citizen centers in Boston; Los Angeles; Pittsburgh; Youngstown, Ohio; and Norwalk, Connecticut. Senior citizens who had had emergency care in the past year participated.Measurement and results: Participants were satisfied with their overall medical care. Long waits were a hardship for patients and their families. The elderly are not familiar with the process of emergency care. They were frightened by their injury or illness. Their anxiety was not allayed until they were informed of the nature of their illness and what their treatment and disposition was to be. The emergency department environment frequently made them uncomfortable. There was considerable confusion caused by the billing process.Conclusions: The elderly would benefit from prior or concurrent education regarding emergency care. Staff should be more sensitive to the anxiety felt by the elderly, should explain the reasons for delays in care, and what to expect. Patients should be informed of the nature and seriousness of their illness as soon as possible. Family and friends may be encouraged to stay with patients. The billing process needs to be clarified and simplified.