评估一种新的临终关怀专用患者决策援助的评估
Channing E Tate1,2, Gwendolyn Mami3,4, Monica McNulty1
1Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), School of Medicine, University of Colorado, Aurora, CO, USA.
The American journal of hospice & palliative care
|July 21, 2023
概括
一个新的临终关怀决策辅助工具提高了患者在做出医疗保健选择时的自我有效性. 然而,它并没有显著提高临终关怀的知识或改变人们对临终关怀的态度.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 患者决策辅助工具 患者决策辅助工具
背景情况:
- 测试了新的临终关怀专用患者决策辅助工具.
- 目的:评估对临终关怀知识,意见和决策自效性的影响.
研究的目的:
- 评估宿舍决策援助的有效性.
- 测量患者对临终关怀的理解和态度的变化.
- 评估对做出终身护理决策的信心的影响.
主要方法:
- 两项随机研究与不同的队列 (学术/安全网医院和社区成员).
- 266名参与者 (≥65岁) 随机分配到干预组或对照组.
- 主要结局:临终关怀知识,信念,态度和决策自效率的变化,在基线和1个月测量.
主要成果:
- 两组之间的临终关怀知识改进没有显著差异.
- 在宿舍信仰和态度等级得分中没有观察到显著差异.
- 与对照组相比,干预组中观察到的决定自我有效性的显著改善.
结论:
- 临终关怀决策辅助显著提高了患者决策的自我有效性.
- 干预措施并没有显著改善临终关怀知识.
- 没有发现患者对临终关怀的信念和态度发生了重大变化.
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