关怀的目标 在整形外科的讨论:老年人骨折
Brienne E Paradis1, Brandon J Klein2, Lucas E Bartlett2
1University of New England College of Osteopathic Medicine, Biddeford, Maine.
The Journal of arthroplasty
|March 10, 2024
概括
护理目标讨论对于老年关节骨折患者至关重要. 加强这些对话需要标准化培训,多学科团队和综合护理途径,以获得更好的以患者为中心的结果.
科学领域:
- 老年人骨科医生 老年人骨科医生
- 医学伦理 医学伦理
- 以患者为中心的护理
背景情况:
- 老年人部骨折导致显著的发病率和死亡率.
- 建立以患者为中心的治疗目标和管理期望至关重要.
- 关于骨科伤害,特别是关节骨折的治疗目标 (GOC) 讨论的文献有限.
研究的目的:
- 在老年人部骨折的背景下,提供关怀目标 (GOC) 讨论的概述.
- 审查有关中国政府与骨骨折的老年患者相关的讨论现有文献.
主要方法:
- 一篇关于1978年至2024年间发表的文章的叙事评论.
- 在PubMed和Google Scholar上进行的搜索使用了"GOC讨论"和"骨折"等术语.
- 包括"关节整形"和"老年病"等描述词来完善搜索.
主要成果:
- 在1978年至2024年间发表的11篇文章符合选择标准.
- 五篇文章专注于骨科手术中的GOC;六篇来自非骨科领域.
- 研究设计包括系统性审查,叙事性审查,观察性研究和描述性研究.
结论:
- 中国政府的讨论使治疗与患者的价值观保持一致,但面临时间限制和健康素养等障碍.
- 对于改善老年关节骨折患者的GOC,没有明确的共识.
- 建议包括标准化培训,加快家庭会议,多学科参与,并将中国政府纳入关节骨折途径.
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