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干预措施的混合方法比较,以增加提前护理规划

Caroline K Tietbohl¹, Carly Ritger², Sarah Jordan²

¹From the Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (CKT); Adult and Child Center for Outcomes Research and Delivery Science, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO (CKT, CR); Division of Geriatric Medicine, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO (SJ,PS,HDL); Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, CA (RSL). caroline.tietbohl@cuanschutz.edu.

Journal of the American Board of Family Medicine : JABFM

|May 13, 2024

概括

互动小组访问显著增加了预先护理计划 (ACP) 的参与度,而不是邮寄材料. 团体访问增强了患者的知识,并为生命结束讨论做好了准备.

科学领域:

老年学是指老年学的学科.
医疗保健服务研究医疗服务研究
公共卫生公共卫生

背景情况:

预先护理计划 (ACP) 对于以患者为中心的终身护理至关重要.
初级保健机构需要有效的战略来促进非洲和非洲国家参与.

研究的目的:

为了比较邮寄材料与小组访问的有效性,以提高非洲国家和地区在初级保健中的参与度.
探索患者与不同非洲和非洲国家干预模式的经验.

主要方法:

混合方法研究,比较邮寄材料和ACP的团体访问.
随机对照试验与ACP参与调查 (n=110) 和采访 (n=23).
对定量参与度得分和定性面试数据的分析.

主要成果:

两项干预措施都增加了非洲和非洲国家和地区的参与度;团体访问显示了明显更高的百分比变化 (+8% vs +3%).
团队访问的参与者报告说,他们对ACP文件的知识,准备和价值有所增加.
采访显示,小组访问促使人们对生命终结偏好进行了更深入的考虑和讨论.

结论:

在提高初级保健患者对ACP的准备性方面,团体访问比邮寄材料更有效.
互动性干预,如团体访问,可以增强知识,并鼓励积极的终生规划.

关键词:

提前护理计划提前护理计划提前指令提前指令衰老的衰老衰老的衰老临床试验临床试验信息传播信息传播信息传播终身护理终身护理评估研究评估研究老年病的医生老年病的医生医疗决策 - - 医疗决策初级医疗保健是一项主要的医疗保健服务.定性研究是指质量研究.

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