Toward improved homecare of frail older adults: A focus group study synthesizing patient and caregiver perspectives.
Toward improved homecare of frail older adults: A focus group study synthesizing patient and caregiver perspectives.
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改善体弱老年人的家庭护理：一项综合患者和护理人员观点的焦点小组研究。
DOI：
10.1002/agm2.12144
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发表时间：
2021-03
期刊：
影响因子：
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通讯作者：
Song X
中科院分区：
文献类型：
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作者：
McDonald AP;Rizzotti R;Rivera JM;D'Arcy RCN;Park G;Song X
更好地了解老年人和医疗保健提供者如何看待社区脆弱管理对于改善家庭健康是必要的，特别是面对2019年冠状病毒病（COVID-19）大流行。我们进行了一项定性的焦点小组研究，以评估老年人和医疗保健提供者如何看待家庭健康中的脆弱性和虚拟医疗保健。两个焦点小组分别招募了居家老年人和医疗保健专业人员（n = 15）。针对在家庭护理中使用虚拟/远程医疗技术的问题，在录音小组访谈中进行管理。使用NVivo软件对转录的讨论进行编码和分析。老年人组强调与日益脆弱和社会孤立有关的自主权，以及透明传播保健规划的必要性。他们对基于远程技术的支持持乐观态度，并表示远程医疗/健康监测/跟踪的需求量很大。卫生保健专业人士强调了一个整体的生物心理社会的方法来管理虚弱的重要性。他们强调需要对虚弱进行标准化的早期评估和管理。综合的观点提供了什么老年人和从业人员在家庭生活支持价值的最新理解。这些知识有助于推进虚拟家庭护理，为有复杂医疗保健需求的体弱者提供更好的护理。这项研究通过整合护理提供者和接受者的观点，代表了对新时代老年人家庭护理支持的最新理解。它强调改善虚拟技术适应护理服务和脆弱的早期管理。
Adopting a better understanding of how both older adults and health care providers view the community management of frailty is necessary for improving home health, especially facing the coronavirus disease 2019 (COVID‐19) pandemic. We conducted a qualitative focus group study to assess how both older adults and health care providers view frailty and virtual health care in home health. Two focus groups enrolled home‐living older adults and health care professionals, respectively (n = 15). Questions targeting the use of virtual / telehealth technologies in‐home care for frail older adults were administered at audio‐recorded group interviews. Transcribed discussions were coded and analyzed using NVivo software. The older adult group emphasized the autonomy related to increasing frailty and social isolation and the need for transparent dissemination of health care planning. They were optimistic about remote technology‐based supports and suggested that telehealth / health‐monitoring/tracking were in high demand. Health care professionals emphasized the importance of a holistic biopsychosocial approach to frailty management. They highlighted the need for standardized early assessment and management of frailty. The integrated perspectives provided an updated understanding of what older adults and practitioners value in home‐living supports. This knowledge is helpful to advancing virtual home care, providing better care for frail individuals with complex health care needs. The study represents an updated understanding of supporting home care of older adults in the new era, by integrating perspectives of both care providers and receivers. It highlights improving virtual technology adaptation for care services and early management of frailty.