医疗保健提供者对患有抑郁症和多种躯体疾病的老年患者的护理感知：一项焦点小组研究的见解。

Healthcare providers' perception of caring for older patients with depression and physical multimorbidity: insights from a focus group study.

机构信息

Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.

Competence Center of Nursing, University Hospitals Leuven, Leuven, Belgium.

出版信息

BMC Prim Care. 2024 Jun 21;25(1):223. doi: 10.1186/s12875-024-02447-9.

DOI:10.1186/s12875-024-02447-9

PMID:38907355

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11193270/

Abstract

BACKGROUND

The caretaking process for older adults with depression and physical multimorbidity is complex. Older patients with both psychiatric and physical illnesses require an integrated and comprehensive approach to effectively manage their care. This approach should address common risk factors, acknowledge the bidirectional relationship between somatic and mental health conditions, and integrate treatment strategies for both aspects. Furthermore, active engagement of healthcare providers in shaping new care processes is imperative for achieving sustainable change.

OBJECTIVE

To explore and understand the needs and expectations of healthcare providers (HCPs) concerning the care for older patients with depression and physical multimorbidity.

METHODS

Seventeen HCPs who work with the target group in primary and residential care participated in three focus group interviews. A constructivist Grounded Theory approach was applied. The results were analyzed using the QUAGOL guide.

RESULTS

Participants highlighted the importance of patient-centeredness, interprofessional collaboration, and shared decision-making in current healthcare practices. There is also a need to further emphasize the advantages and risks of technology in delivering care. Additionally, HCPs working with this target population should possess expertise in both psychiatric and somatic care to provide comprehensive care. Care should be organized proactively, anticipating needs rather than reacting to them. Healthcare providers, including a dedicated care manager, might consider collaborating, integrating their expertise instead of operating in isolation. Lastly, effective communication among HCPs, patients, and their families is crucial to ensure high-quality care delivery.

CONCLUSION

The findings stress the importance of a comprehensive approach to caring for older adults dealing with depression and physical comorbidity. These insights will fuel the development of an integrated care model that caters to the needs of this population.

摘要

背景

照顾患有抑郁症和多种躯体疾病的老年人的过程非常复杂。同时患有精神疾病和躯体疾病的老年患者需要综合全面的方法来有效管理他们的护理。这种方法应该解决常见的风险因素，承认躯体和心理健康状况之间的双向关系，并整合这两个方面的治疗策略。此外，医疗保健提供者积极参与塑造新的护理流程对于实现可持续的变革至关重要。

目的

探讨和了解医疗保健提供者（HCP）对患有抑郁症和多种躯体疾病的老年患者护理的需求和期望。

方法

17 名在初级和居住护理中与目标人群合作的 HCP 参加了 3 次焦点小组访谈。应用建构主义扎根理论方法。使用 QUAGOL 指南分析结果。

结果

参与者强调了以患者为中心、跨专业合作和共同决策在当前医疗保健实践中的重要性。还需要进一步强调技术在提供护理方面的优势和风险。此外，为了提供全面的护理，为该目标人群工作的 HCP 应具备精神科和躯体护理方面的专业知识。护理应该积极主动地组织，预测需求而不是对其做出反应。医疗保健提供者，包括专门的护理经理，可以考虑合作，整合他们的专业知识，而不是孤立地运作。最后，医疗保健提供者、患者及其家属之间的有效沟通对于确保提供高质量的护理至关重要。