患者和社区中对ReSPECT过程的相对经验:一个基于采访的研究研究
Karin Eli1, Jenny Harlock2, Caroline J Huxley2
1Warwick Medical School, University of Warwick, Gibbet Hill Campus, Coventry, CV4 7AL, UK. karin.eli@warwick.ac.uk.
BMC primary care
|April 17, 2024
概括
建议的紧急护理和治疗总结计划 (ReSPECT) 过程可以赋权,当医疗保健专业人员清楚地解释选择并讨论患者的愿望时. 积极的经历会促进心灵的平静,而沟通不良则会导致混乱和痛苦.
科学领域:
- 医学伦理 医学伦理
- 患者护理规划 患者护理规划
- 医疗保健通讯 医疗保健通讯
背景情况:
- 英国推出的紧急护理和治疗建议总结计划 (ReSPECT) 旨在促进讨论紧急治疗偏好.
- 没有先前的研究探讨了社区环境中患者和ReSPECT的相关经验.
研究的目的:
- 调查患者及其亲属如何在社区环境中体验 ReSPECT 过程.
- 了解个人如何与已填写的RESPECT表格进行互动.
主要方法:
- 与社区环境中的患者,亲属或伴侣进行了半结构面试.
- 参与者是通过英国的一般实践招募的.
- 诱导性主题分析用于分析采访数据.
主要成果:
- 出现了四个主题: ReSPECT在人际关系中的纠,医疗保健专业人员的框架,作为生命终结的感知以及与形式的各种关系.
- 患者重视表达愿望,并认为ReSPECT关心家庭福祉.
- 积极的经验与明确的解释,足够的讨论时间和同情的沟通有关.
结论:
- 开放的RESPECT讨论,明确的信息和同情的沟通赋予了患者和亲属权力.
- 与医疗保健专业人员共同制定治疗偏好可以提供心灵平静.
- 有效的ReSPECT实施取决于明确的沟通和以患者为中心的讨论.
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