死亡声:缓和护理实践 德尔菲研究
Sumika Oda1, Aki Kawakami2, Kaoru Ashida3
1Department of Adult Health Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Bunkyo-ku, Japan ns210001@tmd.ac.jp o.sumika870@gmail.com.
BMJ supportive & palliative care
|April 2, 2024
概括
这项研究确定了37个关键的护理实践,用于管理死亡声 (DR) 和支持家庭. 专家护士证实,这些做法对于改善终身护理质量至关重要.
科学领域:
- 抚慰性护理护理 抚慰性护理护理
- 终身护理研究 终身护理研究
- 症状管理 症状管理
背景情况:
- 死亡声 (DR) 干预需要改进,家庭希望得到更好的护理.
- 有限的综合护理实践报告存在于患有DR的患者身上.
- 这项研究解决了在医院环境中定义护理策略的需求.
研究的目的:
- 为了澄清死亡声患者的综合护理实践.
- 评估这些护理实践对患者及其家属的重要性.
- 提高生命末期阶段的护理质量.
主要方法:
- 经验丰富的终身护理护士使用修改后的Delphi方法.
- 方便和雪球采样用于专家护士招聘.
- 两轮的德尔菲调查与利克特级别 (1-9) 评分,以确定实践的重要性.
主要成果:
- 在8个领域确定了40个护理实践,包括评估,口腔护理,水化,药物和家庭沟通.
- 在40个实践中,有37个被专家护士认为是重要的 (≥80%的评分≥7).
- 关键领域包括患者评估,症状缓解和家庭支持.
结论:
- 成功识别和验证了用于死亡声管理的综合护理实践.
- 这些发现支持制定改善终身护理的临床指南.
- 这项研究有助于加强对死亡声患者及其家属的护理干预措施.
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