医疗服务提供者的经验 讨论为患者提供护理 功能衰竭谁放弃KRT:一个国家定性研究
Susan P Y Wong1,2, Julie Chotivatanapong2, Deborah Lee3
1Department of Medicine, VA Puget Sound Health Care System, University of Washington, Seattle, Washington.
Clinical journal of the American Society of Nephrology : CJASN
|October 22, 2024
概括
科提供者在讨论置换疗法 (KRT) 替代方案时扎. 不一致的语言和对患者选择的不确定性使这些关键的脏疾病护理对话变得复杂.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医学沟通 医学沟通
- 患者的决策能力
背景情况:
- 许多科提供者发现,对于拒绝替代疗法 (KRT) 的患者来说,讨论护理选择是具有挑战性的.
- 这种困难阻碍了患者对病治疗的有效决策.
研究的目的:
- 探索科提供者在讨论放弃KRT.决定时的经验和挑战.
- 确定与末期病护理讨论有关的沟通障碍和主题.
主要方法:
- 一项定性研究涉及21个国家脏病提供者 (医生和高级实践提供者) 的采访.
- 专题分析用于分析采访数据,重点讨论放弃KRT.
主要成果:
- 三个主要主题出现了:KRT替代品的术语不一致,KRT和非KRT护理之间的区别模糊,以及在解释患者放弃KRT决定时的提供者不确定性.
- 提供者使用了多样化,有时不清楚的语言,努力区分护理方法,并质疑患者的陈述偏好.
结论:
- 提供者在讨论放弃KRT的患者的护理时缺乏一致的术语和理解.
- 沟通和解释的模糊性阻碍了高级病护理中有效的共同决策.
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