背景:在英国,痴呆症的患病率越来越高,这给医疗保健带来了巨大的挑战。预计到2025年,受影响的个人将超过100万人,每年花费NHS63亿英镑。痴呆症患者住院很常见,占据约25%的英国医院病床,导致住院时间延长和健康状况下降。
方法:本文介绍了开场阶段,这是一个更大的项目的一部分,患者和公众参与和参与(PPIE)被用来理解和导航对痴呆症患者的医院护理意味着什么。了解医院对痴呆症患者的护理,从2023年2月至7月,通过埃塞克斯和萨福克的痴呆症咖啡馆进行了焦点小组参与患者,照顾者和家庭成员。
结果:使用了公认的PPIE报告和主题分析流程,并确定了有关医院护理的六个主题和21个子主题:个性化护理,照顾者的角色,基本护理,人际交往,信息共享和人员配备。
结论:PPIE的结果将用于在项目的下一阶段通知利益相关者并与之合作,这包括检查医院的护理过程,确定接触点并评估这些区域。该项目继续得到包括痴呆症患者在内的利益相关者的信息,照顾者和工作人员。此外,结果可能会通知其他服务提供者加强护理,流程和交付。
结论:展望未来,该研究强调了与痴呆症护理相关利益相关者建立合作关系的重要性.此外,它为重点领域提供了见解,这些领域对于急性护理组织在向痴呆症患者提供护理时至关重要。通过纳入PPIE的见解,该项目旨在确定痴呆症护理服务中的不平等,改善痴呆症患者的医院护理,培养更具包容性和支持性的医疗保健环境。
■这项研究的目的是探索有关痴呆症患者的医院护理的最重要问题,他们的照顾者和家人。痴呆症患者,护理人员和家庭成员通过社区痴呆症咖啡馆参与了这项研究,并被招募参加焦点小组讨论痴呆症患者的医院护理.讨论的问题和材料的设计是通过与大学部门的服务用户负责人和痴呆症专家协商制定的,并由患有痴呆症的服务用户成员进行审查。与一组护理人员进行了试点焦点小组。我们与痴呆症咖啡馆经理合作,协调招聘和合适的环境来管理焦点小组。
背景:不适用。
BACKGROUND: The increasing prevalence of dementia in the United Kingdom presents significant challenges for healthcare, with projections estimating over a million affected individuals by 2025, costing the NHS £6.3 billion annually. Hospital admissions among dementia patients are common, occupying about 25% of UK hospital beds and leading to prolonged stays and diminished health outcomes.
METHODS: This paper presents the opening stages, part of a larger project where Patient and Public Involvement and Engagement (PPIE) was employed to understand and navigate what it means for hospital care for a person living with dementia. To understand hospital care for dementia patients, focus groups were conducted through dementia cafés in Essex and Suffolk from February to July 2023 engaging patients, carers and family members.
RESULTS: Recognised processes for reporting PPIE and thematic analysis were used and identified six themes and 21 subthemes regarding hospital care: individualised care, role of carers, basic care, interpersonal communication, information sharing and staffing.
CONCLUSIONS: The results from the PPIE will be used to inform and work with stakeholders through the next phases of the project, which involves examining care processes in the hospital, identifying touchpoints and evaluating these areas. The project continues to be informed by stakeholders including people living with dementia, carers and staff. Additionally, the results may inform other service providers for care enhancements, processes and delivery.
CONCLUSIONS: Moving forward, the study emphasises the importance of building collaborative relationships with stakeholders involved in dementia care. Additionally, it provides insights to focus areas that are fundamental for acute care organisations when delivering care to people living with dementia. By incorporating insights from PPIE, this project seeks to identify inequalities in dementia care services, improve hospital care for people living with dementia, fostering a more inclusive and supportive healthcare environment.
UNASSIGNED: The purpose of the study was to explore the most important issues around hospital care for people with dementia, their carers and families. Persons living with dementia, carers and family members were involved in the study through community dementia cafés and recruited to take part in focus groups to discuss hospital care for patients with dementia. The design of questions and materials for the discussions was developed through consultation with the university department\'s service user lead and dementia specialist and reviewed by a service user member living with dementia. A pilot focus group was conducted with a group of carers. We worked with the dementia café managers to coordinate recruitment and a suitable environment to run the focus groups.
BACKGROUND: Not applicable.