提前护理规划和息护理咨询在脏移植
Marlena C Fisher1, Xiaomeng Chen2, Deidra C Crews3
1Johns Hopkins School of Nursing, Johns Hopkins University School of Medicine, Baltimore, Maryland.
概括
提前护理计划 (ACP) 在脏移植 (KT) 患者中未得到充分利用,观察到种族差异,特别是在黑人接受者中. 息治疗咨询 (PCC) 也不常见,但没有种族差异.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 抚慰性护理是一种缓解性护理.
- 健康差异 在健康上的差异
背景情况:
- 移植 (KT) 候选人和接受者面临高死亡率和移植后并发症的风险.
- 预先护理规划 (ACP) 和息护理咨询 (PCC) 可以改善这些患者的治疗结果.
研究的目的:
- 量化ACP和PCC在KT候选人和接受者的流行率.
- 在ACP和PCC的参与中发现种族和民族差异.
主要方法:
- 从2008年至2020年期间,对2575名理工培训候选人和1233名接受者的前性队列研究.
- 通过预先指示或护理目标对话定义的ACP;PCC通过转介或笔记定义的.
- 使用调整后勤回归分析的种族/民族差异.
主要成果:
- 在候选国家中,ACP参与率为21.4%,在受益国家中为34.9%.
- 对于候选人和受益者来说,在非洲和非洲国家和地区发现了显著的种族差异.
- 黑人KT受益人与白人受益人相比,在ACP参与的可能性降低了29%;没有观察到PCC的差异.
结论:
- 在KT患者中,ACP并没有得到广泛采用,种族差异很大,有利于白人患者.
- PCC不太常见,没有观察到的种族差异.
- 建议将ACP和PCC整合到KT过程中,以解决这些差距.
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