出院空巢老人延續(xù)性護理需求的質性研究
本文選題:空巢老人 + 延續(xù)性護理; 參考:《武漢大學》2017年碩士論文
【摘要】:目的了解空巢老人出院后對延續(xù)性護理服務的需求情況,為開展空巢老人延續(xù)性護理服務提供依據,從而提高我國延續(xù)性護理服務質量及改善空巢老人的生活質量。方法本研究運用現象學研究法,采用目的抽樣,對武漢市兩所三甲醫(yī)院和兩所社區(qū)醫(yī)院的12位已經出院的空巢老人進行半結構化深入訪談,了解并記錄他們在出院期間對延續(xù)性護理服務需求。使用Giorgi六步法對資料進行分析和整理,提煉主題。結果通過資料分析,空巢老人院外延續(xù)性護理服務需求歸納為4個主題:1專業(yè)化的健康指導:包括藥物指導、日常保健指導、癥狀管理和識別等2非專業(yè)化的服務支持:日常生活護理、情感支持以及心理疏導3便捷的服務渠道:舉行健康宣教活動、家庭訪視和健康指導4可及的衛(wèi)生服務資源:合理的資源分配、醫(yī)院之間相互借鑒、社區(qū)資源的利用結論本研究順應了我國老齡化、空巢化的趨勢,從空巢老人著手,有針對性地應用現象學研究法,從原始資料中歸納特征信息,最終歸納出空巢老人的延續(xù)性護理需求。研究結果對臨床延續(xù)性護理工作和國家政策制定具有一定的參考價值,即醫(yī)院在開展針對空巢老人的延續(xù)性護理應拓展心理護理、日常生活護理等服務內容,通過便捷、有效的延續(xù)性護理形式,為其提供個體化的服務。同時健全社區(qū)醫(yī)院的功能、增加醫(yī)院與社區(qū)的聯(lián)系與合作,以提高延續(xù)性護理服務護理水平。
[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.
【學位授予單位】:武漢大學
【學位級別】:碩士
【學位授予年份】:2017
【分類號】:R473.2
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