痴呆症患者及其照护者对全科护士在痴呆症照护服务中所扮演角色的看法:一项定性研究。

Caroline Gibson, Dianne Goeman, Constance Dimity Pond, Mark Yates, Alison M Hutchinson
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摘要

背景优化全科护士角色的模式有可能在初级医疗机构中提供具有成本效益的最佳痴呆症护理。患者体验被认为是对医疗服务的设计、提供和评估的重要贡献。本研究旨在深入了解痴呆症患者和照护者的医疗需求和经历,以及全科护士提供痴呆症护理的相关情况。方法 采用半结构式访谈的定性设计。对数据进行逐字记录和主题分析。六名照护者和五名在过去 12 个月中接受过全科护士照护的痴呆症患者参与了研究。结果 确定了五大主题:(1)全科护士和痴呆症护理:黄金机遇;(2)尊重沟通:与我交谈,倾听我的心声;(3)以人为本的信息:告诉我想知道的;(4)提供支持:不仅仅是提供信息;(5)包括照护者:我们是一个团队。结论 本研究描述了痴呆症患者及其照护者对全科护士角色的体验和医疗保健需求。这些研究结果可以为全科护士提供痴呆症护理支持策略提供参考,从而满足痴呆症患者及其照护者的医疗保健需求。
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The perspectives of people living with dementia and their carers on the role of the general practice nurse in dementia care provision: a qualitative study.

Background Models that optimise the role of the general practice nurse have the potential to deliver cost-effective best-practice dementia care in the primary care setting. Patient experience is recognised as a vital contribution to the design, provision and evaluation of healthcare services. The aim of this study was to gain insights into the healthcare needs and experiences of people living with dementia and carers as relevant to the provision of dementia care by general practice nurses. Methods A qualitative design with semi-structured interviews was employed. Data were transcribed verbatim and thematically analysed. Six carers and five people living with dementia who received care from a general practice nurse in the previous 12months took part in the study. Results Five overarching themes were identified: (1) the general practice nurse and dementia care: a golden opportunity, (2) respectful communication: talk to me and hear what I am saying, (3) person-centred information: tell me what I want to know, (4) provide support: more than just information provision, and (5) include the carer: we are a team. Conclusion This study describes the experiences and healthcare needs of people living with dementia and their carer(s) with regard to the general practice nurse role. These findings can inform strategies to support the general practice nurse provision of dementia care that meet the healthcare needs of people living with dementia and carers.

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