The Change in Nursing Home Residents' Preferences Over Time
The Change in Nursing Home Residents' Preferences Over Time
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DOI：
10.1016/j.jamda.2018.08.004
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发表时间：
2018-12-01
影响因子：
7.6
通讯作者：
Van Haitsma, Kimberly
中科院分区：
文献类型：
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作者：
Abbott, Katherine M.;Heid, Allison R.;Van Haitsma, Kimberly
目标：疗养院 (NH) 居民对日常生活的偏好是提供以人为本的个性化护理的基础。然而，工作尚未研究疗养院居民最重要和最不重要的偏好是什么，以及这些偏好是否随着时间的推移而变化。 设计：本研究考察了疗养院居民 (n = 255) 在 3 个月内日常生活偏好的变化。参与者是从美国东海岸主要大都市地区郊区的 28 个 NH 中招募的。 措施：使用日常生活库存偏好-疗养院版本在基线 (T1) 和 3 个月后 (T2) 对居民进行面对面访谈。通过两种方式分析变化：(1) 完全一致的百分比（例如，受访者在两个时间点都表示“非常重要”）和 (2) T1 和 T2 之间仍然重要或不重要的偏好百分比。 结果：90% 或更多的 NH 居民将 16 个偏好评为非常或有些重要。关于偏好评级的稳定性，研究结果表明，平均精确一致性为 59%，重要与不重要的平均一致性为 82%。此外，72 个偏好中的 68 个随着时间的推移具有 70% 或更高的稳定性。换句话说，三个月后，该偏好对于 NH 居民来说仍然是“重要”或“不重要”。在让其他人接受护理方面的偏好变化最小。结论/启示：本研究强调了 NH 居民最重要的日常生活偏好，并向护理提供者保证，通过 PELI 评估的大多数偏好对 NH 居民都很重要，并且随着时间的推移保持稳定。提供者可以满怀信心地在 3 个月的时间内设计和使用基于偏好的护理计划。 (C) 2018 AMDA - 急性后和长期护理医学协会。
Objectives: Nursing home (NH) residents' preferences for everyday living are the foundation for delivering individualized person-centered care. Yet, work has not examined what the most and least important preferences of nursing home residents are and if those preferences change over time.Design: This study examined the change in nursing home residents' (n = 255) preferences for everyday living over a 3-month period. Participants were recruited from 28 NHs in the suburbs of a major metropolitan East Coast area of the United States.Measures: Residents were interviewed face-to-face using the Preferences for Everyday Living Inventory-Nursing Home version at baseline (T1) and 3 months later (T2). Change was analyzed in 2 ways: (1) percentage exact agreement (eg, respondent stated "very important" at both time points) and (2) percentage of preferences that remained either important or not important between T1 and T2.Results: Sixteen preferences were rated as very or somewhat important by 90% or more of NH residents. With regard to the stability of preference ratings, findings demonstrate an average exact agreement of 59%, and an average important versus not important agreement of 82%. In addition, 68 of the 72 preferences had 70% or higher stability over time. In other words, the preference either remained "important" or "not important" to the NH resident 3 months later. Preferences in the domain of enlisting others in care had the least amount of change.Conclusion/Implications: This study highlights the most important everyday living preferences of NH residents and provides assurance to care providers that the majority of preferences assessed via the PELI are both important to NH residents and stable over time. Preference-based care plans can be designed and used over a 3-month period with confidence by providers. (C) 2018 AMDA - The Society for Post-Acute and Long-Term Care Medicine.