在社区居住的中风幸存者中提前指示
Soumya Gupta1, Bridget J Chen1, Deji Suolang1
1Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America.
PloS one
|October 17, 2023
概括
预先指示 (ADs) 对医疗保健至关重要. 在中风幸存者中,年龄较大,高等教育,更好的息护理知识和对维持生命治疗的负面态度与患有ADs有关.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 卫生政策 卫生政策
背景情况:
- 预先指示 (ADs) 允许患者记录未来的医疗保健偏好,并任命决策者.
- 了解影响AD完成的因素对于以患者为中心的护理至关重要,特别是在诸如中风幸存者等人群中.
研究的目的:
- 在社区居住的中风幸存者中确定预先指示 (ADs) 的决定因素.
主要方法:
- 一项横截面调查 (CAPriSS) 评估了421名中风幸存者的AD,息护理知识和对维持生命治疗的态度.
- 后勤回归分析确定了与AD完成相关的变量.
主要成果:
- 59.6%的中风幸存者患有ADS.
- 抑郁症与年龄较大,高等教育,白人,男性性别,更多的息护理知识和对维持生命治疗的负面态度有关.
- 阿尔茨海默病的独立预测因素包括年龄,医生先前就预先护理计划进行讨论,息护理知识和对维持生命治疗的态度.
结论:
- 年龄,事先的护理计划讨论,息护理知识和对维持生命治疗的态度独立地与中风幸存者的预先指令有关.
- 这些发现强调了患者教育和医生沟通在促进事先护理规划方面的重要性.
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