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在痴呆症的背景下提前护理规划:定义一致性
Jordana L Clayton1, Katherine P Supiano1, Nancy Aruscavage1
1Gerontology Interdisciplinary Program, College of Nursing, University of Utah, Salt Lake City, Utah, USA.
The Gerontologist
|March 27, 2024
概括
在痴呆症护理双层中,预先护理计划 (ACP) 的一致性是由对生命终点价值观和偏好的共同理解来定义的. 这项研究确定了关键要素,以实现关键的理解护理接收者和合作伙伴之间的关键因素.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 痴呆症护理研究研究
背景情况:
- 痴呆症的进展需要代理决策.
- 护理合作伙伴需要了解护理接受者的终身价值观和偏好,以便有效的决策.
- 护理二预先护理计划 (ACP) 的一致性对于痴呆症护理至关重要.
研究的目的:
- 确定在痴呆症护理中的护理对应性.
- 确定促进在痴呆症护理二元期内促进非洲和非洲国家和地区一致性的要素.
主要方法:
- 对34项关于痴呆症护理的同行评审研究进行了范围审查.
- 进行了从试点研究中对7个双层ACP对话的描述性定性分析.
主要成果:
- 没有找到以前的护理定义和ACP一致性.
- 在痴呆症患者的终身决策中,代用者的准确性各不相同.
- 确定了实现一致性的7个关键要素:尊重/尊重,澄清流程,传达场景,确认理解,认识到不确定性,积极的情绪和信任.
结论:
- 当双方都理解生命终端价值和偏好,并且合作伙伴承诺履行这些价值和偏好时,就会实现护理 dyad ACP一致性.
- 这种定义的一致性可以用于痴呆症护理的研究和临床实践.
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