未来的工具:对患者面向的工具进行范围审查,以预先规划护理
Sean R Riley1,2,3, Christiane Voisin4,2, Erin E Stevens5,6
1Division of General Internal Medicine, Department of Internal Medicine, The Ohio State University College of Medicine, 2050 Kenny Road, Columbus, OH 43215, USA.
Palliative care and social practice
|July 24, 2024
概括
预先护理规划 (ACP) 工具有助于患者将医疗保健与价值观保持一致. 这篇综述综合了99种面向患者的工具,展示了咨询,视频和个性化护理数字平台的创新.
科学领域:
- 老年学是指老年学的学科.
- 医学伦理 医学伦理
- 卫生沟通健康沟通
背景情况:
- 预先护理规划 (ACP) 对于在严重疾病期间将医疗决策与患者价值观相协调至关重要.
- 现有的非洲和非洲国家和地区 (ACP) 工具存在很大差异,效果各不相同,需要全面的概述.
- 阿斯基和奥马利的框架指导了对以患者为中心的非洲国家和地区干预措施的审查.
研究的目的:
- 进行面向患者的预先护理规划工具的范围审查.
- 综合这些工具的特点,交付方法和趋势.
- 在事先的护理规划中,为未来的发展和政策提供信息.
主要方法:
- 搜索了主要的数据库 (PubMed,Embase,CINAHL,Cochrane,Web of Science) 来研究面向患者的ACP工具.
- 包括专注于ACP讨论的研究,不包括仅针对医疗保健提供者或提前指令完成的研究.
- 提取了研究人口,环境,干预方式和主题的数据;根据交付方法对工具进行了分类,并分析了随时间的变化趋势.
主要成果:
- 确定了99种独特的面向患者的ACP工具,其中咨询 (31) 和视频 (21) 是最常见的.
- 工具使用不同的方法:在线平台,印刷,游戏和组合.
- 超过一半的目标是特定的人群 (疾病,种族);最近的创新包括患者门户和心理技术.
结论:
- 有广泛的创新型非洲和非洲国家和地区工具来支持个性化和有效的预先护理计划.
- 结果提高了对工具利用和影响的理解,为未来的发展提供了信息.
- 洞察力为事先的护理规划政策制定提供了宝贵的指导.
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