提前护理规划工作簿的开发和应用,以促进与儿童和青少年患者的沟通:试点测试试验
Yi Ji Moon1,2, Jung Lee2, In Sil Choo2
1Department of Social Welfare, Sungkyunkwan University, Seoul, Korea.
概括
这项研究为韩国儿童和青少年设计了文化敏感的预先护理计划工作簿. 关键的发现强调了间接的生死讨论和辅导员的重要作用.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 跨文化心理学 跨文化心理学
背景情况:
- 提前护理计划 (ACP) 对于患者的自主性至关重要.
- 现有的非洲国家和地区工具可能与不同的文化背景不一致.
- 根据特定的文化环境调整ACP干预措施至关重要.
研究的目的:
- 设计和评估适合韩国文化背景的预先护理规划工作簿.
- 探索使用这些工作簿在涉及儿童和青少年的案例研究中.
- 确定影响韩国ACP工作簿有效性的因素.
主要方法:
- 雇佣单个诱导案例研究,用于使用工作簿.
- 招募个人参与者参与工作簿.
- 为儿童 (七次) 和青少年 (六次) 开发了不同的工作簿.
主要成果:
- 关于生命和死亡的讨论需要在韩国文化中采取间接方法.
- 辅导员的支持和建立信任显著提高工作簿的有效性.
- 工作簿的可访问性和患者在版本选择中的选择是至关重要的.
- 促进因素包括开放的沟通,隐私讨论和医疗团队的合作.
结论:
- 对韩国青年来说,文化适应的ACP工作簿是可行的,也是有益的.
- 需要进一步的案例研究,以促进在韩国医疗机构更广泛地采用.
- 这些发现为文化敏感的预先护理规划干预提供了基础.
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