出院空巢老人延续性护理需求的质性研究

发布时间：2018-05-21 14:55

本文选题：空巢老人 + 延续性护理　；参考：《武汉大学》2017年硕士论文

【摘要】：目的了解空巢老人出院后对延续性护理服务的需求情况,为开展空巢老人延续性护理服务提供依据,从而提高我国延续性护理服务质量及改善空巢老人的生活质量。方法本研究运用现象学研究法,采用目的抽样,对武汉市两所三甲医院和两所社区医院的12位已经出院的空巢老人进行半结构化深入访谈,了解并记录他们在出院期间对延续性护理服务需求。使用Giorgi六步法对资料进行分析和整理,提炼主题。结果通过资料分析,空巢老人院外延续性护理服务需求归纳为4个主题:1专业化的健康指导:包括药物指导、日常保健指导、症状管理和识别等2非专业化的服务支持:日常生活护理、情感支持以及心理疏导3便捷的服务渠道:举行健康宣教活动、家庭访视和健康指导4可及的卫生服务资源:合理的资源分配、医院之间相互借鉴、社区资源的利用结论本研究顺应了我国老龄化、空巢化的趋势,从空巢老人着手,有针对性地应用现象学研究法,从原始资料中归纳特征信息,最终归纳出空巢老人的延续性护理需求。研究结果对临床延续性护理工作和国家政策制定具有一定的参考价值,即医院在开展针对空巢老人的延续性护理应拓展心理护理、日常生活护理等服务内容,通过便捷、有效的延续性护理形式,为其提供个体化的服务。同时健全社区医院的功能、增加医院与社区的联系与合作,以提高延续性护理服务护理水平。
[Abstract]:Objective to understand the demand of continuous nursing service for empty-nest elderly after discharge, and to provide the basis for carrying out continuous nursing service for empty-nest elderly, so as to improve the quality of continuous nursing service and improve the quality of life of empty-nest elderly in China. Methods in this study, 12 empty-nesters who had been discharged from two third-class hospitals and two community hospitals in Wuhan were interviewed with semi-structured and in-depth interviews by means of phenomenological research and objective sampling. Understand and record their needs for continuous care during discharge. Use Giorgi six-step method to analyze and organize the data and refine the subject. Results through the analysis of data, the demand of continuous nursing service for empty-nest elderly was summarized into four topics: 1: 1 specialized health guidance, including drug guidance, daily health care guidance. Symptom management and identification of 2 non-professional service support: daily care, emotional support and psychological counseling 3 convenient service channels: health education activities, Family visit and Health guidance 4 available health service resources: rational resource allocation, mutual reference between hospitals, community resource utilization conclusion this study conforms to the trend of aging and empty-nesting in China, and starts with empty-nesting elderly. With the phenomenological research method, the characteristic information was summarized from the original data, and the continuous nursing needs of the empty-nest elderly were finally summed up. The results of the study have some reference value for clinical continuous nursing work and national policy formulation, that is, the hospital should expand the contents of psychological nursing, daily life nursing and so on in carrying out continuous nursing for empty nest elderly, and pass through convenient, and so on. An effective form of continuous care to provide individualized services. At the same time, the function of community hospital should be improved and the relationship and cooperation between hospital and community should be increased in order to improve the nursing level of continuous nursing service.
【学位授予单位】：武汉大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.2

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