衡量患者和代孕母为生命终端决策做好准备的措施
Mi-Kyung Song1, Melinda K Higgins1, Sandra E Ward2
1Nell Hodgson Woodruff School of Nursing (M.K.S., M.K.H., H.L., N.N.), Emory University, 1520 Clifton Road NE, Atlanta, GA 30322, USA.
Journal of pain and symptom management
|February 14, 2024
概括
研究人员开发并验证了新的尺度,以测量末期病患者及其代孕者的生命终结 (EOL) 决策准备度. 这些经过验证的尺度显示出强大的心理测量特性,用于评估预先护理规划干预措施.
科学领域:
- 医学社会学 医学社会学
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
背景情况:
- 可靠和有效的措施对于评估预先护理规划 (ACP) 干预措施至关重要.
- 准确评估生命终端 (EOL) 决策对于患者的结果至关重要.
研究的目的:
- 制定和验证为EOL决策做好准备的措施.
- 专注于末期脏病患者及其代孕产妇作为示例人群.
主要方法:
- 一项涉及概念分析,项目生成和认知采访的三阶段研究.
- 缩小规模和心理测量评估 (内部一致性,可靠性,有效性) 在多站点试验中.
- 给426名患者和426名代孕产妇使用了26项患者和25项代孕产妇秤.
主要成果:
- 尺度被精制为20个患者和19个具有强烈内部一致性的代孕项目 (克朗巴赫α 0.86-0.90).
- 证明了良好的测试-重新测试可靠性 (r = 0.66-0.69) 和构造有效性,与决策冲突和信心相关.
- 在改善患者和代孕母准备度方面,非洲和非洲的干预措施显示了中等效果 (科恩d = 0.54-0.57).
结论:
- 开发的准备度表具有强大的心理测量特性.
- 这些尺度适用于评估EOL决策准备度.
- 进一步的研究应该在不同的患者群体中验证这些尺度.
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