老年非手术患者陪住需求及其影响因素分析OA北大核心

Objective To analyze the caregiver presence needs and their influencing factors among hos-pitalized elderly non-surgical patients and provide a basis for formulating relevant policies.Methods A descrip-tive qualitative study method was adopted.Through purposive sampling,semi-structured interviews were conduc-ted on elderly non-surgical patients and their families and medical staff in Peking Union Medical College Hospital from September to October 2023.MAXQDA 2020 and the 7-step phenomenological analysis method of Colaizzi were used to classify and code the interview contents and identify themes.Results The categories of caregiver presence needs of elderly non-surgical patients included basic living assistance needs,disease monitoring needs,psychological support needs,as well as the needs for family members to provide economic support and participate in treatment decision-making.The influencing factors included advanced age,frailty,the lack of self-care ability in patients with comorbidities,the susceptibility of patients to sudden situations during the disease exacerbation period,the increased risk of unexpected events in patients with psychological distress,and patients' concerns about social support and medical decision-making.Conclusion The caregiver presence needs of elderly non-sur-gical patients during hospitalization are high and influenced by multiple factors.