晚期CKD老年人的息护理接受度:对患者和科医生的定性研究
Fahad Saeed1, Areeba Jawed2, Spencer Dahl3
1Department of Medicine, Division of Nephrology, Division of Palliative Care, University of Rochester School of Medicine and Dentistry, Rochester, NY.
Kidney medicine
|September 27, 2024
概括
对于老年患者及其科医生来说,息治疗 (PC) 支持治疗决策是可以接受的. 这种干预有助于为面临脏疾病的老年人提供符合目标的护理和决策.
科学领域:
- 老年病的医生 老年病的医生
- 腎臟病學 (nephrology) 是一種醫學專業.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 老年人经常接受与个人目标不一致的疗法.
- 息护理专家可以促进关键的护理目标讨论.
- 患者和科医生对脏决定的息护理干预措施的观点未得到充分研究.
研究的目的:
- 评估CKD-EDU的可接受性,是一种基于息护理的决策支持干预.
- 评估老年患者 (≥75岁) 和他们的科医生对这一干预措施的看法.
主要方法:
- 采用了定性研究设计.
- 对19名患者和24名科医生进行了采访.
- 用专题分析来确定与干预可接受性相关的主题.
主要成果:
- 患者对息护理干预的报道很好,强调了良好的沟通和全身护理.
- 脏病学家欢迎息护理对决策,保守管理和症状控制的支持.
- 一些病学家对外参与他们的实践表示担忧.
结论:
- 对于脏治疗决定的息护理干预通常被患者和科医生都认为是可以接受的.
- 需要进一步的研究,包括更大的随机对照试验,以测试这项干预措施对年长的成年人进行治疗决策.
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