为痴呆症护理适应严重疾病对话指南
Charlotte E Berry1, Sophie H Montgomery2, Robert Santulli1
1Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
The American journal of hospice & palliative care
|September 1, 2023
概括
开发了一种新工具,即痴呆症严重疾病对话指南 (SICG-D),以改善痴呆症患者的预先护理计划. 这份经过调整的指南有助于患者,护理人员和临床医生之间更好的沟通,提高痴呆症护理质量.
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理是一种缓解性护理.
- 神经学 神经学
背景情况:
- 提前护理规划 (ACP) 对于高质量的痴呆症护理至关重要,但往往未得到充分利用.
- 临床医生的不适和痴呆症的复杂性对有效的ACP构成挑战.
- 现有的工具,如严重疾病对话指南 (SICG) 是有价值的,但需要适应痴呆症.
研究的目的:
- 首次将验证的严重疾病对话指南 (SICG) 适应痴呆症护理.
- 提高痴呆症预先护理计划的质量和利用率.
- 创建一个工具,以促进基于价值观的ACP对话,在患者-护理人员-临床医生三位一体.
主要方法:
- 在适应过程中采用混合方法方法.
- 进行了专家采访,以告知痴呆症SICG的改变.
- 通过模拟采访,收集了患者和护理人员的反,采用了适应性痴呆症SICG (SICG-D) 的模拟采访.
主要成果:
- 调整包括SICG的局部和结构变化,以更好地适应痴呆症护理和患者护理人员二元关系.
- 主题内容分析显示,患者和护理人员对SICG-D的印象是积极的.
- 匿名调查显示,有94%的受访者对SICG-D的印象是积极的,89%的受访者支持将SICG-D纳入痴呆症医疗保健.
结论:
- 痴呆症严重疾病对话指南 (SICG-D) 是从SICG开发和调整的.
- 该SICG-D旨在促进基于价值观的ACP对话,并改善痴呆症护理中的三元沟通.
- 这本适应的指南提供了一种有希望的方法来克服痴呆症ACP的障碍,并提高患者的护理.
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