一个严重疾病沟通计划的可行性为儿科预先护理规划
Danielle D DeCourcey1, Rachelle E Bernacki2, Brett Nava-Coulter1
1Department of Pediatrics, Division of Medical Critical Care, Boston Children's Hospital, Boston, Massachusetts.
儿科严重疾病传播计划 (PediSICP) 是为儿科预先护理计划 (ACP) 提供可行和可接受的干预措施. 它改善了临床医生的准备,并增强了家长报告的结果,包括治疗联盟和减少焦虑.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 在严重疾病中进行沟通
- 提前护理计划 提前护理计划
背景情况:
- 儿科预先护理计划 (ACP) 对于将护理与家庭价值观相协调至关重要,但仍然不常见.
- 需要有效的沟通策略来支持面临严重儿科疾病的家庭.
研究的目的:
- 评估儿童严重疾病传播计划 (PediSICP) 的可行性和可接受性.
- 探索与PediSICP干预相关的以家庭为中心的结果.
主要方法:
- 一个单组试点队列研究,涉及患有严重疾病的青少年和年轻人 (AYA),他们的父母和跨专业的临床医生.
- 该PediSICP包括临床医师培训,沟通指南和电子医疗记录文档.
- 可行性被定义为70%的临床干预完成率.
主要成果:
- 30名临床医生完成了培训,并与33名家长和5名AYA进行了42次ACP对话.
- 97%的临床医生觉得准备好了,100%的人推了PediSICP.
- 家长报告说,干预是值得的 (84%),他们觉得听到了 (94%),并经历了改善的治疗联盟和减少焦虑.
结论:
- PediSICP是一个可行,可接受和有价值的计划,用于儿科事先护理规划.
- 这些发现表明,PediSICP可以赋予临床医生权力,并加强重病儿童和AYA的ACP.
- 该计划有望改善儿科环境中的终身护理沟通.
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