期刊论文详细信息
BMC Geriatrics
Development of a tool to assess environmental factors to support home care – a Delphi study
Research
Caroline H.G. Bastiaenen1  Robert A. de Bie1  Marc Maréchal2  Noémie Vuilleumier2  Chloé Schorderet3  Lara Allet4 
[1] Department of Epidemiology, Care and Public Health Research Institute CAPHRI, Maastricht University, Maastricht, the Netherlands;Neuchâtel Lung Association, Neuchâtel, Switzerland;School of Health Sciences, HES-SO Valais-Wallis, University of Applied Sciences and Arts Western Switzerland, Valais, Sion, Switzerland;Department of Epidemiology, Care and Public Health Research Institute CAPHRI, Maastricht University, Maastricht, the Netherlands;The Sense Innovation & Research Center, Lausanne and Sion, Switzerland;School of Health Sciences, HES-SO Valais-Wallis, University of Applied Sciences and Arts Western Switzerland, Valais, Sion, Switzerland;The Sense Innovation & Research Center, Lausanne and Sion, Switzerland;Department of Community Medicine, University Hospitals and University of Geneva, Geneva, Switzerland;
关键词: Environmental factors;    Home care;    Environment;    Assessment;    Delphi;   
DOI  :  10.1186/s12877-023-04207-3
 received in 2023-05-23, accepted in 2023-07-30,  发布年份 2023
来源: Springer
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【 摘 要 】

BackgroundLiving in an adequate environment suited to one’s abilities and needs is an essential condition to function in daily life. However, no complete tool currently exists to provide a rapid overview of a person’s environment, both material (accommodation and auxiliary means) and social (entourage and available services). Our aim was to develop a tool to identify potentially problematic environmental factors and to determine when an in-depth assessment is necessary.MethodsHealth professionals experienced in home-based treatment participated in a three-round Delphi process. The first round aimed to define which items the tool should contain, the second to collect participants’ opinions on a first version of the tool, and the third to collect the participants’ opinions on the adapted version of the tool.ResultsA total of 29 people participated in the first round, 21 in the second and 18 in the third. The final tool contains 205 items divided into four categories (basic information about the inhabitant and their home, inhabitant’s level of independence and autonomy, home, tools and means at the inhabitant’s disposition) and two annexes (stairs to access to the home, internal staircase to the dwelling).ConclusionsA complete tool allowing professionals working in patients’ homes to obtain an overview of the environmental factors that could represent obstacles to the independence of the inhabitant, or to the possibility of providing quality care could be developed. This tool is very complete but relatively long. To facilitate its usability, it would be relevant that a digital version to focus on individual relevant categories be elaborated.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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