预先护理规划的定义和建议:在亚洲五个部门进行的德尔菲研究
Masanori Mori1, Helen Y L Chan2, Cheng-Pei Lin3,4
1Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Palliative medicine
|October 11, 2024
概括
这项研究为事先的护理规划建立了共识定义,并为亚洲的文化敏感举措提供了建议. 这些发现旨在改善亚洲人群中以患者为中心和基于家庭的终身护理计划.
科学领域:
- 老年学是一门学科.
- 生物伦理学生物伦理学
- 公共卫生 公共卫生
背景情况:
- 在受家影响的亚洲社会中,提前护理计划 (ACP) 的采用具有挑战性,原因是围绕生命结束讨论和家庭参与的文化规范.
- 文化敏感性对于在不同亚洲环境中有效实施ACP至关重要.
研究的目的:
- 为亚洲人群量身定制的预先护理规划制定共识定义.
- 为亚洲的以患者为中心和以家庭为基础的ACP倡议提出建议.
主要方法:
- 一个五轮的德尔菲研究,涉及来自亚洲五个地区 (香港,日本,韩国,新加坡,台湾) 的多学科专家.
- 专家们使用7点的利克特等级来评价一个拟议的定义和84个建议,以达成共识.
主要成果:
- 建立了事先护理规划的共识定义:确定,讨论和记录个人价值观和对未来护理的偏好.
- 在涵盖以人为中心和以家庭为基础的方法,要素,角色,时间,政策和评估的建议上达成了高度一致.
结论:
- 开发的定义和建议提供了一个框架,指导亚洲的非洲和非洲国家和地区实践,教育,研究和政策.
- 这些发现支持创建文化敏感的ACP干预措施,确保护理与亚洲人的价值观保持一致.
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