双层预期护理计划的有效性:系统性审查和元分析
Xiaohang Liu1, Mu-Hsing Ho1, Tongyao Wang1
1School of Nursing (X.L., M.H.H., T.W., D.S.T.C., C.C.L.), Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong.
Journal of pain and symptom management
|January 25, 2024
概括
提前护理规划显著改善了提前指令文件和与医生的沟通. 这种方法有效地为患者和护理人员做好生命终结决策的准备.
科学领域:
- 老年学是指老年学的学科.
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 对患者和家庭护理人员来说,终身护理决策是具有挑战性的.
- 家庭参与预先护理计划 (ACP) 对于符合目标的护理和护理人员的准备至关重要.
- 有限证据表明,使用患者护理人员方法的双向ACP的有效性有限.
研究的目的:
- 评价二级预先护理规划干预措施的有效性.
- 综合来自二代性ACP的随机对照试验的证据.
主要方法:
- 在7个数据库中进行系统的文献搜索 (开始至2023年3月).
- 包括随机对照试验,涉及有精神能力的成年人和他们的家庭照顾者.
- 对定量数据进行元分析,对定性数据进行叙事综合.
主要成果:
- 包括14项随机对照试验.
- 迪亚迪克ACP显著增加了提前指令文件 (OR = 7.58) 和与医生的积极沟通 (OR = 2.42).
- 干预措施显示有潜力改善终身护理一致性,护理人员对代孕决策的信心,以及沟通质量.
结论:
- 双向预期护理规划是准备患者和护理人员进行生命终端沟通和决策的有希望的策略.
- 需要进一步的研究来确定现实世界实施的障碍和促进因素.
- 社会文化背景显著地影响了多面的ACP二代化进程.
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