与家庭代理人相关的因素决定性-后退轨迹
Fur-Hsing Wen1, Chia-Hsun Hsieh2, Po-Jung Su3
1Department of International Business (F.H.W.), Soochow University, Taipei, Taiwan.
Journal of pain and symptom management
|November 30, 2023
概括
了解替代决策后悔是非常重要的. 财务压力,护理负担和患者治疗决策显著影响生命终端护理决策后遗憾轨迹.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 悲伤研究 悲伤研究
- 决策科学 决策科学 决策科学
背景情况:
- 有限的研究存在于影响代理决策遗憾随着时间的推移的因素.
- 现有的研究往往忽略了纵向和异质的遗憾经历.
- 本研究通过检查决策过程框架阶段来解决知识差距.
研究的目的:
- 识别与不同替代决策遗憾轨迹相关的因素.
- 专注于与高质量的终身护理 (EOL) 相关的可修改因素.
- 分析与遗憾有关的决策先例,过程和结果.
主要方法:
- 对377名终末期癌症患者的家庭代孕母亲进行观察性研究.
- 分析了四种不同的决策遗憾轨迹 (弹性,延迟恢复,晚出现,日益延长).
- 使用了多项逻辑回归建模.
主要成果:
- 财务充足和护理负担与延迟恢复有关.
- 伴侣的丧失和抑郁症状与晚期出现的遗憾有关.
- 治疗决策和决策冲突增加了深度遗憾轨迹的几率.
结论:
- 代理决策遗憾受决策前例,过程和结果的影响.
- 确定可修改的因素为干预提供了目标.
- 有效的干预措施可以帮助减轻代理决策遗憾.
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