慢性病的高级护理规划: MY WAY干预的定性影响
Natalie C Ernecoff1, Elizabeth Chen Kurtz2, Elise Mandel Pearson2
1RAND (N.C.E.), Pittsburgh, Pennsylvania, USA.
Journal of pain and symptom management
|June 7, 2024
概括
MY WAY辅导干预通过加强价值观,帮助慢性病患者的高级护理计划 (ACP). 然而,它对CKD特定决策的影响有限,突出了教练.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 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:
- 对于慢性病患者来说,建议共享决策和高级护理计划 (ACP),但很少讨论.
- MY WAY干预旨在作为一个教育和患者指导计划,以提高非洲国家和地区的质量.
研究的目的:
- 收集参与者对MY WAY ACP辅导干预的反.
- 了解干预如何影响患者的愿望,对脏护理的看法和ACP反思.
- 为了确定促进ACP在CKD患者中反思的因素.
主要方法:
- 进行了半结构化采访,与15名来自MY WAY干预组的参与者进行了采访.
- 探讨了参与者在CCD中之前的ACP经验,MY WAY干预的印象及其结果.
- 对转录的采访进行了定性主题分析.
主要成果:
- 患有CKD的患者与ACP有不同的经验.
- 人们认为,MY WAY辅导干预通过加强患者价值观来支持ACP.
- 参与者认为,指导的重点是终身护理,而不是CKD特定的决策.
结论:
- 辅导干预非常有用,有助于促进非洲国家和地区对话.
- 干预对CKD特定决策产生了有限的影响.
- 教练的存在对于ACP讨论的舒适性至关重要;对ACP的准备可能与治疗偏好或理解不一致.
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