促进预先护理计划准备的干预措施:系统性审查和元分析
Minghui Tan1, Siyuan Tang1, Shelli Feder2
1Xiangya School of Nursing, Central South University, Changsha, China.
International journal of nursing studies
|May 18, 2024
概括
预先的护理计划干预措施略有改善了对终身护理讨论的整体准备. 然而,特定的行为,如任命代理人或签署遗嘱,没有显著的变化,表明需要精细的干预策略.
科学领域:
- 医疗保健政策 医疗保健政策
- 行为科学 行为科学
- 医学伦理 医学伦理
背景情况:
- 提前护理规划 (ACP) 是标准医疗护理的推组成部分.
- 患者的准备,反映了行为改变的阶段,显著影响了ACP的吸收.
- 非洲和非洲国家干预对准备的具体特征和影响仍未得到充分研究.
研究的目的:
- 系统地审查和对随机对照试验 (RCT) 进行元分析,以了解非洲和非洲国家的干预措施对患者准备程度的影响.
- 评估这些干预措施对整体准备和特定的与非洲,非洲和非洲国家相关行为的影响.
主要方法:
- 进行了对八项低质量的RCT的系统审查和元分析.
- 乔安娜·布里格斯研究所的批判性评估工具被用于研究评估.
- 在元分析中,使用平均差异或风险比率与95%置信区间计算了聚合效应大小.
主要成果:
- 经过ACP干预,ACP的整体准备情况略有改善,但在统计学上显著 (MD=0.19,95%CI:0.02-0.36).
- 没有发现干预措施对特定行为准备的统计学意义上的影响,包括任命医疗保健代理人,与代理商讨论愿望,或创建活体遗嘱.
结论:
- 干预措施可以提高预先计划护理的整体准备,支持将其纳入卫生政策和临床实践.
- 缺乏对特定行为准备的重大影响凸显了改善干预设计,技术整合和理论基础的需要.
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