Quality indicators for the care of older adults with disabilities in longterm care facilities based on Maslow’s hierarchy of needs

Purpose:This study aimed to develop quality indicators for the care of older adults with disabilities in long-term care facilities(LTCFs)based on Maslow’s hierarchy of needs.Methods:The draft of the quality indicators was drawn up based on a literature review and research group discussion.The quality indicators were finalized by two rounds of expert consultation(involving 15 experts)using the Delphi method.The Analytic Hierarchy Process was applied to calculate the indicators’weight.Results:The response rates of the two rounds of consultation were 100%and 93%,and the expert authority coefficients were 0.86 and 0.87.After two rounds of consultation,the expert opinion coordination coefficients of the first-,second-and third-level indicators were 0.42,0.25,and 0.96,respectively(P<0.05),and the variation coefficient was0.25.The final quality indicators for the care of older adults with disabilities in LTCFs included 7 first-level,19 second-level,and 107 third-level indicators.Conclusion:The quality indicators for the care of older adults with disabilities in LTCFs are reliable,scientific,comprehensive,and practical and specify the content of person-centered care needs.This can provide a reference for evaluating and improving care quality in LTCFs.

微创手术也可治疗高血压

病例实录王大爷64岁,患原发性高血压15年。虽然一直在服药,但是血压长期在180/100毫米汞柱波动。曾到多家医院就诊,口服多种降压药物,血压控制仍然不够理想。近年来,病情明显加重,经常感到胸闷。已经有多个高血压并发症的迹象。小贾31岁,有高血压病家族史,两年前发现血压升高,最高时可达210/130毫米汞柱,口服多种药物控制效果不佳,血压一直在160/100毫米汞柱波动。经过精心的术前准备,医生为上述两名高血压患者施行了微创介入手术。在局部麻醉条件下,医生借助动脉造影的指引,从患者大腿根部股动脉,巧妙地将一根直径1.3毫米的射频消融导管头端送到肾动脉内,然后根据患者肾动脉的长短和粗细,精确选取了4～6个靶点,使用8～10瓦的能量。