Depression among the elderly is a public health issue. This paper demonstrates the value of patient safety research for future strategies in this area. The aim of the present study was to analyse the relationship betw...Depression among the elderly is a public health issue. This paper demonstrates the value of patient safety research for future strategies in this area. The aim of the present study was to analyse the relationship between the World Health Organization (WHO) Patient Safety (PS) Model and empirical research on depressed elderly patients’ experiences of quality and safe care. The research question was: Which patients’ experiences could be linked to quality and safe care as recommended by the WHO? We adopted an implementation approach as the starting point for this interdisciplinary project. A total of 29 individual narrative-based, in-depth interviews were performed to explore patients’ experiences and two healthcare teams participated in the focus group interviews. Interpretation of the results revealed that the 23 components of the PS model were linked to elderly patients’ experiences of quality and that safe care was not achieved. There was evidence of low quality and lack of safe care due to psychological distress, stress and fatigue, the absence of involvement in decision-making, misdiagnosis, sleep problems as a result of harm from medical error and a poor physical state. Patients’ experiences of loneliness gave rise to suicidal thoughts. In conclusion, quality improvement is necessary in all components of the WHO PS model. We recommend structural, process and outcome improvements, more specifically: active involvement, shared decision-making and increased self-management.展开更多
目的:探讨中医慢病护理管理在缓解慢性乙型肝炎(Chronic Hepatitis B,CHB)患者的抑郁情绪及改善其治疗效果的影响。方法:选择2017年2月-8月至我院进行治疗的慢性乙型肝炎患者60例作为研究对象,通过不同护理模式分为实验组29例,对照组31...目的:探讨中医慢病护理管理在缓解慢性乙型肝炎(Chronic Hepatitis B,CHB)患者的抑郁情绪及改善其治疗效果的影响。方法:选择2017年2月-8月至我院进行治疗的慢性乙型肝炎患者60例作为研究对象,通过不同护理模式分为实验组29例,对照组31例,对照组运用常规护理,实验组运用中医慢病护理管理。比较两组患者的实验室相关检测指标、中医临床证候量表评分、抑郁情绪及生活质量。结果:实验组患者干预后谷丙转氨酶(Alanine Aminotransferase,ALT)复常率明显低于对照组(P<0.05),乙型肝炎E抗原(Hepatitis Be Antigen,HBeAg)血清学转换率及乙肝病毒的脱氧核糖核酸(HBV-DNA)阴转率两组差异无统计学意义(P>0.05)。干预后,两组患者中医临床证候量表各维度评分均较干预前均显著下降,且实验组评分显著低于对照组(P<0.05)。干预后,两组抑郁评分较干预前均明显下降,且实验组显著低于对照组(P<0.05)。干预前两组患者生活质量各维度评分差异无统计学意义(P>0.05),干预后实验组患者生理职能(Role Limitation because of Physicai Problem,RP)、社会功能(Social Function,SF)、情感智能(Role Limitation because by Emotional Problem,RE)、心理健康(Mental Health,MH)评分均显著高于对照组(P<0.05),且实验组生活质量总分(545.43±53.86)分显著高于对照组(488.87±53.62)分(t=4.074,P<0.05)。结论:中医慢病护理管理有助于提高慢性乙型肝炎患者的治疗效果,缓解抑郁情绪,促进肝功能恢复,改善患者症状,提高其生活质量,值得临床推广应用。展开更多
文摘Depression among the elderly is a public health issue. This paper demonstrates the value of patient safety research for future strategies in this area. The aim of the present study was to analyse the relationship between the World Health Organization (WHO) Patient Safety (PS) Model and empirical research on depressed elderly patients’ experiences of quality and safe care. The research question was: Which patients’ experiences could be linked to quality and safe care as recommended by the WHO? We adopted an implementation approach as the starting point for this interdisciplinary project. A total of 29 individual narrative-based, in-depth interviews were performed to explore patients’ experiences and two healthcare teams participated in the focus group interviews. Interpretation of the results revealed that the 23 components of the PS model were linked to elderly patients’ experiences of quality and that safe care was not achieved. There was evidence of low quality and lack of safe care due to psychological distress, stress and fatigue, the absence of involvement in decision-making, misdiagnosis, sleep problems as a result of harm from medical error and a poor physical state. Patients’ experiences of loneliness gave rise to suicidal thoughts. In conclusion, quality improvement is necessary in all components of the WHO PS model. We recommend structural, process and outcome improvements, more specifically: active involvement, shared decision-making and increased self-management.
文摘目的:探讨中医慢病护理管理在缓解慢性乙型肝炎(Chronic Hepatitis B,CHB)患者的抑郁情绪及改善其治疗效果的影响。方法:选择2017年2月-8月至我院进行治疗的慢性乙型肝炎患者60例作为研究对象,通过不同护理模式分为实验组29例,对照组31例,对照组运用常规护理,实验组运用中医慢病护理管理。比较两组患者的实验室相关检测指标、中医临床证候量表评分、抑郁情绪及生活质量。结果:实验组患者干预后谷丙转氨酶(Alanine Aminotransferase,ALT)复常率明显低于对照组(P<0.05),乙型肝炎E抗原(Hepatitis Be Antigen,HBeAg)血清学转换率及乙肝病毒的脱氧核糖核酸(HBV-DNA)阴转率两组差异无统计学意义(P>0.05)。干预后,两组患者中医临床证候量表各维度评分均较干预前均显著下降,且实验组评分显著低于对照组(P<0.05)。干预后,两组抑郁评分较干预前均明显下降,且实验组显著低于对照组(P<0.05)。干预前两组患者生活质量各维度评分差异无统计学意义(P>0.05),干预后实验组患者生理职能(Role Limitation because of Physicai Problem,RP)、社会功能(Social Function,SF)、情感智能(Role Limitation because by Emotional Problem,RE)、心理健康(Mental Health,MH)评分均显著高于对照组(P<0.05),且实验组生活质量总分(545.43±53.86)分显著高于对照组(488.87±53.62)分(t=4.074,P<0.05)。结论:中医慢病护理管理有助于提高慢性乙型肝炎患者的治疗效果,缓解抑郁情绪,促进肝功能恢复,改善患者症状,提高其生活质量,值得临床推广应用。
