在亚洲导航痴呆症养决策:对护理人员的混合方法研究
Ellie B Andres1, Isha Chaudhry1, Ishwarya Balasubramanian1
1Lien Centre for Palliative Care, Duke-NUS Medical School, 8 College Road Level 4, Singapore 169857, Singapore.
Age and ageing
|October 28, 2024
概括
晚期痴呆症患者的输卵管养与生活质量 (QoL) 降低和护理人员痛苦增加有关. 需要决策工具来支持护理人员在这些具有挑战性的养选择中进行导航.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 对于患有晚期痴呆症的老年人来说,管道养通常不建议.
- 护理人员在为这些人做出食决定时面临重大挑战.
研究的目的:
- 为了全面了解新加坡高级痴呆症社区老年人的输液管养实践.
- 检查管养,老年人生活质量 (QoL) 和照顾者心理困扰之间的关系.
主要方法:
- 融合混合方法设计整合了定性访谈 (n=25) 和为期两年的前性纵向队列调查 (n=215).
- 对护理人员采访和调查数据的分析,以评估输卵管使用,生活质量和心理困扰.
主要成果:
- 定性调查结果显示,护理人员对降低质量生活的期望以及对养决策的个人痛苦.
- 在研究期间,16%的患有老年痴呆症的老年人使用了输卵管养.
- 管养与老年人QOL降低 (P<.05) 和护理人员焦虑和抑郁症增加 (P<.10) 相关.
结论:
- 输液养与老年痴呆症患者的QoL显著降低以及护理人员痛苦增加有关.
- 护理人员认识到对QoL的负面影响,但仍然对养选择感到焦虑.
- 决策支持工具是必要的,以帮助照顾者做出与他们的价值观一致的知情养决策.
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