预先与老年挪威成年人在家中的护理计划:一个叙事民族学研究
Line Elida Festvåg1,2, Beate Lie Sverre3,4, Ørnulf Paulsen5,6
1USN Research Group of Older Peoples' Health, University of South-Eastern Norway, Drammen, Norway. line.elida.festvag@usn.no.
BMC palliative care
|February 18, 2024
概括
在家中提前护理计划 (ACP) 促进了对患者价值观和偏好的公开讨论. 这种方法增强了沟通和对未来的息护理需求的共享理解.
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:
- 预先护理计划 (ACP) 旨在使患者的护理与他们的价值观和愿望保持一致.
- 大多数非洲和非洲国家/地区的研究都集中在机构环境上,忽视了家庭护理.
- 这项研究研究了老年患者的私人家庭中的ACP.
研究的目的:
- 探索医疗保健专业人员如何在老年患者的家中进行和体验预先护理计划 (ACP).
- 了解家庭环境对ACP对话的影响.
主要方法:
- 参与者观察了参与患者,亲属和医疗保健专业人员在患者家中的ACP对话.
- 与医疗保健专业人员的民族学采访.
- 谈话和互动的叙事分析.
主要成果:
- 家庭环境培养了温的氛围,鼓励患者和亲属分享看法和价值观,通常是通过生活故事来隐含的.
- 亚洲和非洲国家的讨论主要集中在延长生命的治疗方法和优先选择的护理地点上.
- 医疗保健专业人员调整了对话,利用家庭环境和灵活的沟通来解决患者的准备和敏感话题.
结论:
- 基于家庭的ACP促进了关爱的方法,使个人价值观和偏好能够被确定.
- 在家里进行的ACP对话创造了对疾病轨迹,患者需求和偏好的共享理解.
- 这种方法对老年患者至关重要,他们可能很难表达未来的护理愿望.
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