EMPOWER:一个多个地点的试点试验,以减少ICU中代理决策者的痛苦
Wendy G Lichtenthal1, Lindsay Lief2, Madeline Rogers2
1University of Miami Miller School of Medicine (W.G.L.), Miami, Florida, USA; Memorial Sloan Kettering Cancer Center (W.G.L., K.E.R., S.P., N.H.), New York, New York, USA.
Journal of pain and symptom management
|March 13, 2024
概括
EMPOWER干预是替代决策者的可行和可接受的心理支持,有效地减少了痛苦并提高了关键护理的满意度.
科学领域:
- 关键护理医学 关键护理医学
- 心理干预 心理干预
- 决策支持 决策支持
背景情况:
- 替代病重症患者的决策者经常经历严重的心理痛苦.
- 以往缓解这种痛苦的干预措施表现出有限的成功甚至负面影响.
研究的目的:
- 评估EmpOWER (增强和调动健康和弹性潜力) 的可行性,可接受性和初步有效性.
- EMPOWER是一种为代孕产妇设计的超简短,手动化心理干预.
主要方法:
- 60名患有严重焦虑的代孕患者被随机分配给EMPOWER或增强的常规护理 (EUC).
- 关于可接受性和心理痛苦的数据是在干预前收集的,干预后立即收集,并在1个月和3个月的随访中收集.
主要成果:
- EMPOWER是可行的 (89%完成) 和可以接受的 (高满意度).
- 与EUC相比,EMPOWER在3个月内显著减少了每期的痛苦,悲伤强度,创伤后压力,经验回避和抑郁症.
- 接受EMPOWER的代孕患者报告说,他们对临床护理的满意度更高.
结论:
- 对于代理决策者来说,EMPOWER干预是可行的,可以接受的.
- EMPOWER提高了对关键护理的满意度,并防止了心理痛苦的升级,包括创伤后压力,悲伤和抑郁症.
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