在COVID-19大流行期间虚拟组预先护理规划访问的可行性和有效性
Lindsey Yourman1, Alina Pollner2, Jasmine Khatibi3
1Division of Geriatrics, Gerontology, and Palliative Care, Department of Internal Medicine, University of California at San Diego School of Medicine, La Jolla, San Diego, CA, USA.
The American journal of hospice & palliative care
|June 19, 2024
概括
虚拟和面对面的群体访问 (GVs) 预先护理计划 (ACP) 是可行的和有效的. 这两种格式都显著提高了护理文档和预先指示的完成目标,患者推了ACP GVs.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 医疗保健提供 医疗保健提供
背景情况:
- 随着COVID-19大流行,医疗保健服务转向了虚拟模式.
- 预先护理计划 (ACP) 的参与面临着向虚拟格式过渡的挑战.
- 这项研究评估了AVC的虚拟与实体团体访问 (GVs) 的可行性和有效性.
研究的目的:
- 评估虚拟群体访问 (GVs) 的可行性和有效性,以预先计划护理 (ACP).
- 为了将虚拟的ACP GV与传统的亲自ACP GV进行比较.
- 评估ACP GVs对护理目标的影响:护理文件和预先指令.
主要方法:
- 来自老年医学诊所的患者参加了两次ACP GVs干预.
- 临床医生促进了关于患者价值观,目标和偏好的讨论.
- 评估包括调查,反,观察和EHR审查在基线和6个月的文件和指令后续.
主要成果:
- 与70名患者 (54名虚拟,16名实体) 进行了46次ACP GV.
- 虚拟GV看到护理文档的目标从31%增加到93%和预先指令从22%增加到30%.
- 面对面的GV看到护理文件的目标从25%增加到100%,提前指示从69%增加到75%.
结论:
- 提前护理规划 (ACP) 团体访问 (GVs) 是可行的,并且有效地支持ACP.
- 虚拟和面对面的ACP GV显著提高了护理对话和提前指令完成的目标.
- 患者报告高满意度和愿意推ACP GVs,无论形式如何.
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