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医生对挪威养老院预先护理计划的理解和经验:一项定性研究
Liv Ødbehr1, Reidun Hov2, Harald Sanaker3
1Department of Health and Nursing Sciences, Faculty of Social and Health Sciences, Inland Norway University of Applied Sciences, Elverum, Norway. liv.odbehr@inn.no.
BMC palliative care
|June 24, 2024
概括
预先护理规划 (ACP) 涉及对患者生命终端偏好进行持续对话. 挪威养老院医生认为,ACP是一种复杂的医学艺术,强调患者价值观和整体护理,以获得缓解和希望.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医学伦理 医学伦理
背景情况:
- 提前护理规划 (ACP) 促进了关键的终身对话,关于患者的价值观和医疗保健偏好.
- 尽管有重点,但由于工作常规整合挑战和患者脆弱性问题,在挪威养老院的ACP实施仍然有限.
- 医生承担医疗责任,促进与养老院居民的ACP会议.
研究的目的:
- 探索养老院医生对预先护理规划的理解和经验.
- 调查医生对挪威养老院护理计划的后续情况的看法.
主要方法:
- 使用现象学-解释学方法进行定性研究设计.
- 与12名社区养老院医生进行了半结构化采访.
- 使用结构性文本分析对转录的采访进行分析.
主要成果:
- 医生认为事先的护理规划是一个持续的对话和过程.
- 通过ACP,患者和医疗保健提供者之间的相互期望得到了澄清.
- 有效的ACP,培养患者的缓解和希望,被认为是一个复杂的医疗艺术.
结论:
- 医疗与医疗协会 (ACP) 是一个动态的过程,涉及医疗治疗决策,疼痛管理和护理计划制定,尊重患者的自决权和价值观.
- 对于医生,患者和家人来说,关于尊严,社会关系和生存问题的持续对话是需要的.
- 对ACP的整体方法解决了患者的心理和生存需求,包括安慰,信任,希望和尊重.
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