Preference Consistency: Veteran and Non-Veteran Nursing Home Resident Self-Reported Preferences for Everyday Living.
Preference Consistency: Veteran and Non-Veteran Nursing Home Resident Self-Reported Preferences for Everyday Living.
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DOI：
10.3928/00989134-20200129-06
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发表时间：
2020-03-01
影响因子：
1.3
通讯作者：
Van Haitsma KS
中科院分区：
文献类型：
--
作者：
Curyto K;Dockler LM;Van Haitsma KS
了解病人的喜好是以人为本的护理的核心。比较退伍军人（VA）和非退伍军人养老院（NH）居民在基线和5 ~ 7天后对日常生活偏好量表（PELI）的反应，评估日常偏好报告的一致性。非VA NH居民比VA居民表现出更高的完美一致性（分别为66%对56%）和更高的可接受一致性（分别为95%对88%）。多元回归分析使用人口统计学、认知功能变量和采访者评分检验了显著的可靠性预测因子。在VA组中，更高的完美协议与不太可能有听力缺陷，更好的认知能力以及与精力，注意力和理解相关的更好的面试官评分有关。在非va组中，更高的完美一致性与更年轻、更独立的行走有关。总的来说，更高的认同与女性、非退伍军人和更好的认知有关。强调了对未来研究和临床实践的影响。
Understanding patient preferences is core to person-centered care. The consistency of everyday preference reporting was assessed comparing responses of Veteran (VA) and non-VA nursing home (NH) residents on the Preferences for Everyday Living Inventory (PELI) at baseline and 5 to 7 days later. Non-VA NH residents demonstrated higher perfect agreement than VA residents (66% vs. 56%, respectively) and higher acceptable agreement (95% vs. 88%, respectively). Multiple regression analyses examined significant predictors of reliability using demographics, cognitive functional variables, and interviewer ratings. In the VA group, higher perfect agreement was associated with residents who were less likely to have hearing deficits, better cognition, and better interviewer ratings related to energy, attention, and comprehension. In the non-VA group, higher perfect agreement was associated with residents who were younger and more independent with walking. Overall, higher agreement was associated with being female, non-VA, and having better cognition. Implications for future research and clinical practice are highlighted.
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