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为提前护理规划制定和验证一种自我效率衡量的方法
Alexandra N Murray1, Katie Monahan2, Allegra Sacco2
1Digestive Disease & Surgical Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
The American journal of hospice & palliative care
|October 25, 2023
概括
这项研究开发了一种可靠的预先护理计划自我效率 (ACP SE) 衡量方法,以评估对终身护理计划行为的信心. 这项基于跨理论模型的措施可以改善对非洲国家和地区参与的干预措施.
科学领域:
- 老年学是一门学科.
- 健康心理学 心理健康心理学
- 行为科学 行为科学
背景情况:
- 生命末期的医疗保健往往与患者的价值观和偏好不一致.
- 在沟通和记录终身护理愿望方面存在障碍.
研究的目的:
- 开发和验证预先护理规划自我效率 (ACP SE) 的衡量标准.
- 专注于完成活体遗嘱的自我效能,指定医疗保健代理人,并讨论生活质量与数量.
主要方法:
- 以跨理论模型 (TTM) 为指导的措施开发.
- 在50岁以上的成年人样本 (N=310) 上进行探索性和确认性因子分析 (EFA/CFA).
- 多变量分析检查了ACP SE和TTM结构之间的关系.
主要成果:
- 确认因素分析显示出出色的内部一致性 (α = .95) 和良好的模型匹配.
- ACP SE受局势和态度因素的影响.
- 根据TTM内的变化阶段,自我有效性差异很大.
结论:
- 开发了一种可靠和有效的预先护理计划 (ACP) 情况特定信心指标.
- 该ACP SE措施是基于TTM的.
- 这种工具可以增强未来的干预措施,以增加非洲国家和地区的参与.
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