为患有功能衰竭的患者做出终身护理决策的患者参与干预措施:范围审查
Louise Engelbrecht Buur1,2,3, Hilary Louise Bekker2,3,4, Jens Kristian Madsen1
1Department of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.
JBI evidence synthesis
|June 6, 2023
概括
本综述绘制了患者参与干预方案,用于对功能衰竭患者进行终身护理决策. 有证据表明,各种干预措施支持患者,家庭和医疗保健专业人员之间的共同决策.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在功能衰竭管理中,临床指导对终身护理的指导是不一致的.
- 在一些地区,事先制定了护理计划,但其他患者参与干预措施的记录较少.
- 在终身护理决策中支持患有功能衰竭的患者需要进一步调查.
研究的目的:
- 调查和绘制患者参与干预的经验证据.
- 支持功能衰竭患者在服务中做出终身护理决策.
主要方法:
- 根据JBI方法和PRISMA-ScR指南进行范围审查.
- 在 MEDLINE,Scopus,Embase 和 CINAHL 搜索相关研究.
- 包括33项研究,不包括涉及儿童的研究,并使用关系分析框架进行数据合成.
主要成果:
- 在33项研究中确定了23种不同的患者参与干预措施.
- 针对患者,卫生专业人员或两者的组合的干预措施.
- 干预组件包括患者资源,咨询工具和从业人员培训,在医院服务中提供.
结论:
- 有几种方法可以让患有功能衰竭的患者参与终身护理决策.
- 未来的干预措施应考虑复杂的框架,并让多个利益相关者参与共享决策.
- 将终身护理选项纳入病管理途径至关重要.
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