在痴呆症中预先计划护理的共识定义:一项33个国家的德尔菲研究
Jenny T van der Steen1,2, Miharu Nakanishi1,3, Lieve Van den Block4
1Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|November 20, 2023
概括
本研究将痴呆症的预先护理计划 (ACP) 定义为一个包容性的沟通过程,考虑在所有护理阶段的波动能力和家庭参与. 关键问题包括能力,家庭参与和沟通策略.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 现有的预先护理计划 (ACP) 框架主要针对具有决策能力的个人.
- 由于认知能力下降和能力波动,痴呆症对传统的ACP国家提出了独特的挑战.
研究的目的:
- 具体针对痴呆症患者的提前护理计划 (ACP) 的概念化和定义.
- 确定需要特别注意的关键问题,在ACP对老年痴呆症.
主要方法:
- 德尔菲的一项研究涉及来自33个国家的107名专家.
- 欧洲息护理协会 (EAPC) 工作组对一个通用的ACP框架进行了调整.
- 在2021年9月至2022年6月期间进行了四次在线调查,随后获得了EAPC董事会的批准.
主要成果:
- 定义ACP在痴呆症是一个适应性沟通过程,包括家庭,如果可用,并考虑到人的能力.
- 确定参与的务实界限 (当前或终身护理).
- 突出了三个关键的相互关联的问题:能力,家庭参与和参与/沟通.
结论:
- 开发了基于共识,以沟通和关系为中心的ACP痴呆症的定义框架.
- 该框架支持包括痴呆症患者及其家庭护理人员在所有能力阶段.
- 强调解决能力,家庭动态和有效的沟通策略的重要性.
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