在置疗法选择的决策过程中提供护理支持:范围审查
Audrie Marcheguet1, Valérie Loizeau2
1Infirmière en pratique avancée, mention maladie rénale chronique, dialyse, transplantations rénales, M.Sc, centre hospitalier intercommunal Poissy/Saint-Germain-en-Laye, GHT Yvelines Nord, France
Recherche en soins infirmiers
|July 12, 2023
概括
护士为慢性脏病患者提供终期脏替代疗法选择的权力. 关键因素包括信任,个性化照顾和专业人士的情感支持,以提供知情决策.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 护理科学 护理科学
- 健康心理学 心理健康心理学
背景情况:
- 慢性病 (CKD) 影响法国人口的7-10%.
- 末期CKD需要对脏替代疗法 (RRT) 做出关键决策.
- 有效的患者支持对于导航复杂的RRT选择至关重要.
研究的目的:
- 记录护理实践,支持末期CKD患者进行RRT选择.
- 确定促进RRT知情决策的因素.
主要方法:
- 使用JBI方法的范围审查 (Peters等. ) 的情况.
主要成果:
- 护理实践的重点是通过参与,信息提供,偏好澄清,审议支持和需求评估来赋予患者权力.
- 关键的促进者包括公平,信任的关系,个性化的护理流程和受过训练的专业人员的情感支持.
结论:
- 护理干预应集中在使患者能够积极控制改变生活的决策上.
- 解决与CKD进展相关的情绪动荡和不确定性对于有效的决策支持至关重要.
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