癌症提前护理规划:开发一个查工具
Pia Berlin1, Lena Göggelmann2, Svenja Herzog2
1Department of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany pia.berlin@uni-marburg.de blanckep@uni-marburg.de.
BMJ supportive & palliative care
|November 18, 2023
概括
一个新的查工具可以识别需要提前护理计划 (ACP) 讨论的患者. 这种工具有助于临床医生为终身护理偏好提供及时支持.
科学领域:
- 医学沟通 医学沟通
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 提前护理规划 (ACP) 促进了医院的共同决策和医疗偏好的沟通.
- 需要有效的工具来识别那些可能受益于ACP讨论的患者.
研究的目的:
- 开发和验证第一个查工具,以评估预先护理规划 (ACP) 的需要.
- 建立一种可靠的方法,用于在临床实践中例行估计非洲和非洲国家和地区的需求.
主要方法:
- 两阶段研究涉及项目减少 (n=92) 和预测价值分析 (n=201).
- 统计方法包括ROC分析,灵敏度/特异性和构造有效性评估 (死亡焦虑,避免沟通,信任).
主要成果:
- 一个两项查工具显示,死亡焦虑和避免沟通的高预测值 (AUC>0.80).
- 最佳切断值得分 (≥6) 达到95%的灵敏度和81%的特异性.
- 诸如社会支持和准备好参加ACP等因素与增加的兴趣相关.
结论:
- 通过客观和主观项目的组合,对非洲和非洲的需求进行选是可行的.
- 积极的查结果可以指导在临床环境中提供ACP讨论.
- 该工具支持对非洲和非洲国家需求的常规估计,改善患者护理.
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