旨在改善预先护理计划在瘤学中的应用的干预措施:对最近随机对照试验的范围审查
Yves Libert1,2, Caroline Langhendries1,2, Lisa Choucroun1,2
1Université libre de Bruxelles (ULB), Faculté des Sciences Psychologiques et de l'Éducation.
Current opinion in oncology
|May 14, 2024
概括
干预措施可以改善癌症护理的预先护理计划 (ACP) 讨论和文档. 最近的试验表明,辅导工具和训练有素的辅导员可以提高患者,护理人员和医疗保健提供者之间的沟通.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预先护理计划 (ACP) 对晚期癌症患者至关重要.
- 关于改善非洲和非洲国家/地区吸收的干预措施的证据是混合的.
- 最近的研究重点是加强非洲和非洲国家和地区的沟通和文档.
研究的目的:
- 进行对近期随机对照试验 (RCT) 关于在癌症治疗中ACP采用干预措施的范围审查.
- 总结一下这些干预措施的有效性.
- 确定有效的战略,以促进非洲和非洲国家和地区的讨论.
主要方法:
- 在PubMed中搜索了2021年至2023年间发表的RCT.
- 包括研究评估干预措施,以增加患者,护理人员和医疗保健专业人员 (HCP) 之间的ACP沟通.
- 确定了使用各种干预方法的十个相关RCT.
主要成果:
- 干预措施包括ACP促进工具,受过培训的ACP促进者的整合,以及启动讨论的推动.
- 大多数干预措施都使用了既有方法或工具.
- 关键效应是促进了ACP讨论,并记录了患者的偏好.
结论:
- 经过培训的辅导员和特定的工具可以增强在癌症护理中的ACP讨论和文档.
- 促使终身讨论的干预措施是有效的.
- 进一步的研究可能会完善改善非洲和非洲国家/地区采用的战略.
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