一般医生提前护理规划知识和态度:ACP-GP集群随机对照试验
Frederick Daenen1,2, Julie Stevens3,2, Luc Deliens3,2
1End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) & Ghent University, Brussels, Belgium frederick.daenen@vub.be.
BMJ supportive & palliative care
|June 26, 2024
概括
经过ACP-GP的干预,一般医生对事先护理规划的知识或态度并没有得到改善. 高基线分数可能掩盖了潜在的干预效应,表明需要精细的评估工具.
科学领域:
- 医学教育 医学教育
- 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:
- 提前护理规划 (ACP) 对于将未来的医疗保健与患者价值观保持一致至关重要.
- 一般医生 (GPs) 在促进ACP对话方面发挥着至关重要的作用.
- 总医生对ACP的现有知识和态度可能会对有效实施构成障碍.
研究的目的:
- 评估ACP-GP干预对一般医生关于预先护理计划的知识和态度的影响.
- 评估一项复杂的干预措施是否提高了医疗顾问进行非洲和非洲国家和地区讨论的能力.
主要方法:
- 一个III阶段的集群随机对照试验,涉及35名比利时GP.
- 干预包括GP培训,ACP对话,患者工作簿和文档模板.
- 在基线和干预后3,6个月使用Next Steps问卷测量了全科医生的知识和态度.
主要成果:
- 经过ACP-GP干预,没有对GP知识产生统计学上显著的影响.
- 与对照组相比,一般医生对非洲和非洲的态度没有显著改善.
- 统计分析 (通用估计方程) 没有显示干预的好处.
结论:
- 经过ACP-GP的干预,医生们对ACP的认识和态度没有得到改善.
- 潜在的上限效应,由高基线得分表明,可能会掩盖干预效应.
- 未来的研究可能需要更精细的评估工具,以准确识别和解决非洲和非洲的障碍.
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