法律代表的PRODECIDE教育计划的知情决策与痴呆症患者和痴呆症患者的有效性:随机对照试验 (PRODECIDE-RCT) 和过程评估
Julia Lühnen1,2, Burkhard Haastert3, Tanja Richter1
1Unit of Health Sciences and Education, Faculty of Mathematics, Computer Science and Natural Sciences, Universität Hamburg, Martin-Luther-King-Platz 6, 20146 Hamburg, Germany.
PRODECIDE教育计划显著提高了法律代表对痴呆症患者的医疗保健决策的知识. 这种培训对于在痴呆症护理中做出知情,基于证据的决策至关重要.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健法律 医疗保健法律
- 医学教育 医学教育
背景情况:
- 法律代表在痴呆症患者的医疗保健决策中发挥着至关重要的作用.
- 存在很大的差距,因为很少有法律代表在这个领域拥有专门的资格.
- 痴呆症患者的有效决策支持在很大程度上依赖于知情的法律代表.
研究的目的:
- 评估PRODECIDE教育计划在提高法定代表的知识方面的有效性.
- 评估该计划对理解医疗保健决策过程和对那些代表痴呆症患者的人设置现实的期望的影响.
主要方法:
- 采用了前性随机对照试验设计.
- 法律代表被分配给PRODECIDE干预组或标准护理控制组.
- 通过干预后的测试来评估知识,数据输入和分析是盲目的.
主要成果:
- 与对照组 (43.4%) 相比,PRODECIDE干预组在知识测试中获得了较高的正确答案百分比 (69.0%),差异为25.6%,p < 0.001).
- 专业的法律代表与自愿的代表相比,表现出更高的知识,正确答案比自愿的代表多13.6% (p < 0.001).
结论:
- PRODECIDE教育计划有效地提高了参与痴呆症护理的法律代表的知识基础.
- 法律代表之间增强的知识是为痴呆症患者的基于证据和知情的医疗保健决策的基本要求.
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