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首页> 外文期刊>International journal of older people nursing >Experiences, understandings and support needs of family carers of older patients with delirium: A descriptive mixed methods study in a hospital delirium unit
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Experiences, understandings and support needs of family carers of older patients with delirium: A descriptive mixed methods study in a hospital delirium unit

机译：老年with妄患者家庭护理人员的经验，理解和支持需求：在医院del妄室进行的描述性混合方法研究

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Background: Delirium is common in older patients. Little is known of support needs of families of older hospital patients with delirium. Aims and objectives: To inform nursing practice, we sought to describe families' experiences, understanding of delirium and delirium care, and support needs. Design: Descriptive mixed methods. Methods: Review of questionnaire items used with families of people with terminal delirium informed development of a new questionnaire to evaluate the support needs in our study population. In a tertiary hospital delirium unit, we recruited 17 family carers of older patients with (non-terminal) delirium to respond to this questionnaire. Twelve participants (11 female) also took part in interviews addressing the study's aims. Descriptive statistics were calculated and thematic analysis was undertaken. Results: From the survey, key family issues included distress about the patient's condition, worries about future care, and a need for more information about how the patient might feel and how families could support the patient. Themes from interviews included The admission experience, Worries and concerns, Feeling supported, and The discharge experience. Limited understanding of delirium underpinned all themes. Families experienced shock and sadness at the change in the patient; they were reassured by the specialist care but needed more information about delirium, its effects and outcomes, and how they could help with care. Meeting long-term postdischarge needs was a key concern. Conclusions: In this study, families with a hospitalised older relative who had delirium described a distressing experience and needs for informational support. Further research is needed outside of delirium-specific units and in samples including a greater proportion of male relatives. Implications for practice: Nurses should work within the interdisciplinary team to ensure a planned, sensitive and timely approach to informing the patient's family about delirium and its implications for their relative, recognising the family carer's role and likely distress.
机译：背景：Deli妄在老年患者中很常见。对于older妄的老年住院患者家庭的支持需求知之甚少。目的和目标：为了向护理实践提供信息，我们试图描述家庭的经历，对ir妄和del妄护理的理解以及支持需求。设计：描述性混合方法。方法：回顾与ir妄末期患者家属一起使用的调查表项目，从而开发出新的调查表以评估研究人群的支持需求。在一家三级医院del妄部门中，我们招募了17名年龄较大的（非末期）del妄患者的家庭护理人员来回答此问卷。十二名参与者（11名女性）也参加了针对研究目标的访谈。计算描述统计并进行主题分析。结果：根据调查，主要的家庭问题包括患者的病情困扰，对未来护理的担忧，以及需要更多有关患者的感受以及家庭如何支持患者的信息。访谈的主题包括入学经历，担忧和担忧，支持的感觉以及出院经历。对del妄的有限理解是所有主题的基础。家庭对患者的变化感到震惊和悲伤。他们的专科护理使他们放心，但需要更多有关ir妄，其影响和结果以及如何在护理方面提供帮助的信息。满足长期出院后的需求是一个关键问题。结论：在这项研究中，患有del妄症的住院老年亲属的家庭描述了令人痛苦的经历和信息支持的需求。在del妄特异单位之外和包括较大比例男性亲属的样本中需要进一步的研究。对实践的影响：护士应在跨学科团队内工作，以确保采取计划，敏感和及时的方式告知患者家属del妄及其对亲属的影响，并认识到家庭护理人员的作用和可能的困扰。

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