最重要的是什么:记录的目标,价值观和高级癌症患者的动机
Ashley Aller1, Aida Shirazi2, Leon Pedell3
1Department of Hematology and Oncology, Kaiser Permanente Northern California, San Francisco, CA, USA.
The American journal of hospice & palliative care
|December 19, 2023
概括
对瘤学家的标准化护理目标文件模板改善了对患者价值观和动机的记录. 这种增强的沟通支持为晚期癌症患者提供符合目标的护理.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗信息学 医疗信息学
背景情况:
- 护理目标对话对于使患者的治疗与他们的价值观保持一致至关重要.
- 对这些目标的不一致的记录可能会阻碍以患者为中心的护理.
研究的目的:
- 评估标准化,基于提示的文档模板对瘤学家主导的护理对话目标的影响.
- 描述在这些对话中记录的临床背景,患者目标和动机.
主要方法:
- 在癌症中心实施一个集中式,基于提示的文档模板.
- 审查178个记录的目标的护理对话从晚期癌症患者.
- 分析记录的目标和患者的动机.
主要成果:
- 瘤学家始终记录治疗的目标和决策的动机.
- 最重要的目标包括"避免疼痛和痛苦"",身体独立"",尽可能长寿".
- "仅以舒适度为重点的治疗"是最少记录的目标.
结论:
- 一个标准化的模板有效地捕获了晚期癌症患者的护理目标和患者动机.
- 集中化,基于提示的文档有潜力提高符合目标的护理的提供.
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