在帕金森病患者的护理中实施预先护理规划和护理协调:可行性研究
概括
这项研究发现,预先护理计划 (ACP) 对帕金森病 (PD) 患者来说是可行的,帮助他们考虑当前和未来的护理. 然而,护理协调需要在未来的试验中进一步发展.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 医疗保健管理的管理
背景情况:
- 帕金森病 (PD) 患者需要综合护理协调和预先护理计划 (ACP).
- 对于中度阶段PD的联合干预措施的证据有限.
- 这项研究旨在评估一个更大的随机对照试验的可行性.
研究的目的:
- 评估联合ACP和PD患者护理协调干预措施的可行性和可接受性.
- 告知未来随机对照试验的设计.
主要方法:
- 两位经验丰富的执业护士提供了为期12个月的联合干预.
- 通过招聘,消耗,资格,干预交付和满意度评估可行性.
- 干预包括通过各种方式 (面对面,电话,视频) 进行多次ACP会议.
主要成果:
- 在27名 (74%) 的PD患者中,有20人被录取;有7人 (35%) 退学.
- 平均每位患者进行了3.6次ACP治疗.
- 患者发现,ACP组件既有支持性,又有对抗性;护理协调程度较低.
结论:
- 预先护理规划 (ACP) 干预对于PD患者来说是可行的和有用的.
- 促进对当前和未来护理需求的思考.
- 护理协调部分需要在未来的研究中进一步改进.
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