概括
一个新的以人为中心的叙事干预 (PCNI) 改善了患者的沟通和在医院被听到的感觉. 虽然可行,但它对焦虑和抑郁的影响需要在更大的试验中进一步研究.
科学领域:
- 医疗保健提供创新 医疗保健提供创新
- 患者为中心的护理研究研究.
- 临床干预研究临床干预研究
背景情况:
- 不和的护理源于非以人为中心的方法.
- 正在出现一种转向将患者叙述纳入其中的转变.
- 一个以人为中心的叙事干预 (PCNI) 被开发来解决护理差距.
研究的目的:
- 评估PCNI随机研究的可行性.
- 评估PCNI对患者报告的沟通质量的影响.
- 检查PCNI对心理社会和存在幸福感的影响.
主要方法:
- 与肥胖相关的行为干预试验 (ORBIT) 模型第二阶段研究.
- 概念验证随机设计.
- 参与者:心力衰竭和/或末期脏疾病的住院患者.
主要成果:
- 尽管有COVID-19,但PCNI在急性护理中证明了可行性.
- 在感知到的沟通质量中适度的改善.
- 感觉被听到和理解的微小改善;对焦虑/抑郁的最小影响.
结论:
- 通过整合患者价值观,PCNI可以为以人为中心的护理提供信息.
- 在急性护理中的实用评估显示了患者报告的积极结果.
- 需要在更大的试验中进行进一步的III期疗效测试.
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