The Impact of Care Partners on the Mobility of Older Adults Receiving Hemodialysis.
The Impact of Care Partners on the Mobility of Older Adults Receiving Hemodialysis.
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DOI：
10.1016/j.xkme.2022.100473
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发表时间：
2022-06
期刊：
影响因子：
3.9
通讯作者：
Bean, Jonathan F
中科院分区：
文献类型：
--
作者：
Liu, Christine K;Seo, Janet;Lee, Dayeun;Wright, Kristen;Tamura, Manjula Kurella;Moye, Jennifer;Weiner, Daniel E;Bean, Jonathan F
许多接受血液透析的老年人行动不便，需要依赖护理伙伴，但有关护理伙伴提供的支持的数据却很少。我们的目的是研究护理合作伙伴如何支持接受血液透析的老年人的活动能力。定性研究。我们采用有目的抽样的方法，招募了 60 岁或以上接受维持性血液透析的人员以及 18 岁或以上为接受血液透析的老年人提供支持的护理伙伴。我们对每个人进行了有关流动性的面对面半结构化访谈。我们对访谈记录进行了描述性和重点编码，并采用了主题分析。我们的结果是使用定性主题描述护理合作伙伴提供的感知移动支持。我们招募了 31 名接受血液透析的老年人（42% 为女性，68% 为黑人），平均年龄为 73 ± 8 岁，平均透析时间为 4.6 ± 3.5 年。其中，87% 的患者使用辅助设备，90% 的患者有护理伙伴。我们招募了 12 名护理伙伴（75% 为女性，33% 为黑人），平均年龄为 54 ± 16 岁。从患者和护理合作伙伴的访谈中，我们发现了三个主题：(1) 护理合作伙伴看到了什么，(2) 护理合作伙伴做了什么，以及 (3) 护理合作伙伴感受到了什么。就他们所看到的情况而言，护理合作伙伴目睹了患者流动性的下降。关于他们的工作，护理合作伙伴指导和促进活动并管理其他提供帮助的人。就他们的感受而言，护理伙伴尊重患者的自主权，但也会感到沮丧并担心患者未来的活动能力。样本量适中；单一地理区域。在接受血液透析的老年人中，护理伙伴观察到活动能力下降并为活动能力提供支持。他们尊重患者的自主权，但担心未来的行动能力丧失。未来的研究应将护理合作伙伴纳入干预措施中，以解决接受血液透析的老年人的活动能力。
Many older adults receiving hemodialysis have mobility limitations and rely on care partners, yet data are sparse regarding the support provided by care partners. Our aim was to examine how care partners support the mobility of an older adult receiving hemodialysis. Qualitative study. Using purposive sampling, we recruited persons aged 60 years or more receiving maintenance hemodialysis and care partners aged 18 years or more who were providing support to an older adult receiving hemodialysis. We conducted in-person semi-structured interviews about mobility with each individual. We conducted descriptive and focused coding of interview transcripts and employed thematic analysis. Our outcome was to describe perceived mobility supports provided by care partners using qualitative themes. We enrolled 31 older adults receiving hemodialysis (42% women, 68% Black) with a mean age of 73 ± 8 years and a mean dialysis duration of 4.6 ± 3.5 years. Of these, 87% of patients used assistive devices and 90% had care partners. We enrolled 12 care partners (75% women, 33% Black) with a mean age of 54 ± 16 years. From our patient and care partner interviews, we found three themes: (1) what care partners see, (2) what care partners do, and (3) what care partners feel. Regarding what they see, care partners witness a decline in patient mobility. Regarding what they do, care partners guide and facilitate activities and manage others who also assist. Regarding what they feel, care partners respect the patient’s autonomy but experience frustration and worry about the patient’s future mobility. Modest sample size; single geographic area. In older adults receiving hemodialysis, care partners observe a decline in mobility and provide support for mobility. They respect the patient’s autonomy but worry about future mobility losses. Future research should incorporate care partners in interventions that address mobility in older adults receiving hemodialysis.