提前护理计划:家庭内信任的故事
Lory A Iunius1, Sarah Vilpert1,2, Clément Meier1,2
1Faculty of Business and Economics (HEC), University of Lausanne, Switzerland.
概括
对家庭关系的高度信任鼓励参与预先护理计划 (ACP). 将家庭纳入临终讨论可以改善以患者为中心的护理和生活质量.
科学领域:
- 老年学是一门学科.
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 家庭关系显著影响终身护理决策.
- 提前护理计划 (ACP) 对于以患者为中心的EOL护理至关重要.
- 了解影响ACP参与的因素对于改善EOL体验至关重要.
研究的目的:
- 调查家庭关系质量 (通过对亲属的信任来衡量) 与事先护理计划 (ACP) 的各个方面参与之间的联系.
- 检查对亲属的信任如何与EOL讨论,提前指令 (AD) 意识,批准,完成和医疗保健代理人指定有关.
主要方法:
- 在瑞士利用来自欧洲健康,衰老和退休调查 (SHARE) 的全国代表性数据 (第6波,2015年).
- 分析了1111名55岁及以上的成年人的数据.
- 采用统计方法来评估对亲属的信任与ACP参与之间的关系.
主要成果:
- 对亲属的完全信任与预先护理计划 (ACP) 的更高参与度显著相关.
- 对家庭信任度较高的人更有可能讨论EOL问题并完成预先指示.
- 对亲属的信任与对事先指示和医疗保健代理人指定的认识和认可正相关.
结论:
- 强大的家庭关系,表明高度信任,促进更大的参与事先的护理规划.
- 在患者同意下,将家庭纳入ACP程序,可以增强以患者为中心的EOL护理.
- 优先考虑家庭参与ACP可能会导致终身改善生活质量.
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