在患有呼吸衰竭的患者中提前计划护理
Carla Ribeiro1,2, Paula Pamplona3, Anita K Simonds4,5
1Pulmonology Department, Unidade Local de Saúde de Gaia e Espinho, Vila Nova de Gaia, Portugal carlafarinharibeiro@gmail.com.
提前护理规划 (ACP) 改善了以患者为中心的护理和沟通. 虽然研究结果各不相同,但ACP对沟通质量,舒适护理偏好和决策一致性产生积极影响.
科学领域:
- 医学沟通 医学沟通
- 以患者为中心的护理
- 呼吸系统医学 呼吸系统医学
背景情况:
- 预先护理规划 (ACP) 对于以患者为中心的护理至关重要,涉及患者,代孕母亲和临床医生之间的沟通,以确定护理目标.
- ACP的目标是根据患者的临床情况量身定制护理,为未来做好准备,增强沟通.
研究的目的:
- 审查关于急性和慢性呼吸衰竭的预先护理计划 (ACP) 的研究.
- 检查ACP的过程,沟通,共享决策,实施和呼吸衰竭的结果.
主要方法:
- 关于在呼吸衰竭中预先计划护理的研究文献综述.
- 分析了研究的分析,检查了ACP干预措施,沟通和结果.
主要成果:
- 由于结果的异质性,对非洲和非洲的干预措施的研究产生了有争议的结果.
- 积极的结果包括改善患者与医生的沟通,舒适护理偏好,减少决策冲突,以及更好地记录ACP或预先指令.
结论:
- 慢性呼吸衰竭中ACP的障碍包括预后不确定性和缺乏医疗保健工作者培训.
- 在急性呼吸衰竭中,ACP应让患者参与,讨论适当的治疗方法,并澄清后果.
- 医疗保健工作者需要沟通技能的培训,以便有效地让患者参与到ACP讨论中.
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