一项关于开发护理人员最终阶段决策支持规模的初步研究,用于痴呆症的老年人
Mizue Suzuki1, Yatami Asai2, Masako Sato3
1Hamamatsu University School of Medicine, Hamamatsu, Japan.
Geriatrics & gerontology international
|January 29, 2024
概括
一个新的规模支持痴呆症护理机构的护理人员,以帮助痴呆症老年人 (OwDs) 表达和实现他们生命的最后阶段的愿望. 最终生命阶段决策支持量表 (FS-DM) 证明了改善终身护理的可靠性和有效性.
科学领域:
- 老年学是一门学科.
- 痴呆症护理 痴呆症护理 痴呆症护理
- 医疗保健工作人员培训
背景情况:
- 患有痴呆症的老年人 (OwDs) 需要专门的支持来做出终身决策.
- 现有的工具可能无法充分满足OWDs在表达最终愿望方面的独特需求.
- 护理人员在促进这些敏感讨论方面发挥着至关重要的作用.
研究的目的:
- 开发和验证最终生命阶段决策支持量表 (FS-DM) 用于与OWDs工作的护理人员.
- 创建一个可靠的工具,以帮助工作人员支持OWD的最终生命阶段决策.
- 通过促进他们实现意志,提高对OWDs的护理质量.
主要方法:
- 通过与护理人员和专家审查的重点小组生成项目.
- 一份问卷调查对138名老年机构的护理人员进行了调查.
- 分析因素以确定尺度的结构和可靠性分析 (克朗巴赫的α).
主要成果:
- 该FS-DM包括11个项目,分为三个因素:支持意志实现,沟通,并根据能力/价值观引起愿望.
- 因子分析解释了61.03%的差异,因子负载从0.385到0.827.
- 可靠性分析显示Cronbach的α为0.740-0.855;关键因素与现有的决策支持态度相关.
结论:
- FS-DM是一个可靠和有效的工具,用于支持护理人员协助OWDs最终生命阶段的决策.
- 这个尺度有助于制定,表达和实现OwDs的意志.
- 这种工具可以改善接近生命终点的OWDs的支持性护理.
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