在熟练护理机构对癌症患者进行息护理社会工作干预的过程评估
Sarguni Singh1, Ashley Dafoe2, Dana Lahoff3
1Division of Hospital Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Journal of palliative medicine
|April 2, 2024
概括
评估和倾听个人目标和需求 (ALIGN) 干预措施支持老年癌症患者和护理人员在护理过渡过程中进行导航. ALIGN有助于调整期望,并激活患者,以获得更好的目标一致的护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年瘤学 老年瘤学
- 社会工作 干预 干预
背景情况:
- 患有癌症的住院老年人经常在接受符合目标的护理方面面临挑战,尤其是在从熟练护理机构出院后.
- 现有的息护理干预措施可能无法在护理过渡期间充分满足这一群体的复杂需求.
- 了解像ALIGN这样的干预措施工作的过程对于优化其有效性至关重要.
研究的目的:
- 探索评估和倾听个人目标和需求 (ALIGN) 干预措施改善符合目标的护理服务的机制.
- 为了证实支持ALIGN干预的概念模型.
- 根据假设,ALIGN在患有癌症的住院老年人中如何有效.
主要方法:
- 使用定性主题内容分析进行过程评估.
- 来自患者和护理人员采访的数据的三角化 (分别为n=6和n=13).
- 对ALIGN社会工作者干预笔记的分析 (n=113来自n=18名患者).
主要成果:
- ALIGN促进了对康复与渐进性疾病的错误期望的协调.
- 这项干预有助于管理与医疗决策相关的不确定性和压力.
- 它的纵向性质使得随着患者优先事项的转变,可以进行反复的,基于价值的护理目标讨论.
- ALIGN赋予了患者权力,让他们为自己的需求辩护.
结论:
- 评估和倾听个人目标和需求 (ALIGN) 的干预提供了对预后理解,沟通和决策的关键支持.
- 当护理目标未实现时,ALIGN帮助患者和护理人员重新评估优先事项.
- 需要在更大的试验中进行进一步的研究,以确认这些过程如何增强基于价值的决策和符合目标的护理服务.
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