利用以人为中心的设计来改善高级痴呆症老年人的严重疾病护理
Lara Chehab1, Sofia Weiss Goitiandia2, Lorraine Pereira3
1Department of Surgery (L.C., A.S.), University of California, San Francisco, California, USA; The Better Lab (L.C., D.P., A.S.), University of California San Francisco, San Francisco, California, USA.
Journal of pain and symptom management
|November 30, 2024
概括
以人为中心的设计 (HCD) 让临床医生参与开发干预想法,以减少高级痴呆症护理中的高强度,目标不一致的治疗. 这种方法产生了多种解决方案,以改善老年人的终身护理.
科学领域:
- 老年医学 老年医学
- 抚慰性护理是一种缓解性护理.
- 人与计算机的交互
- 设计思维 设计思维
背景情况:
- 患有晚期痴呆症的老年人经常接受积极的,无益的治疗.
- 目标不一致的护理普遍存在,这表明患者的愿望和医疗干预之间的不一致.
- 改善终身护理的现有干预措施取得了有限的成功.
研究的目的:
- 与临床医生一起应用以人为中心的设计 (HCD) 来产生干预想法.
- 为了减少高强度,目标不一致的治疗对老年人的老年痴呆症接近生命的终点.
- 改善严重疾病的目标一致的护理.
主要方法:
- 利用了HCD的灵感和构想阶段.
- 在启发阶段与临床医生进行了深入采访.
- 采用专题分析和结构化的头脑风暴会议来产生想法.
主要成果:
- 从临床医生采访中确定了七个主题和三个设计机会.
- 通过头脑风暴会议产生了132个干预想法.
- 选择了9个干预想法进行进一步测试.
结论:
- 在多个医疗保健系统层面上,HCD有效地产生了干预想法.
- 涉及临床医生,研究人员和设计师是解决严重疾病护理挑战的关键.
- 该过程为老年息护理的持久问题提供了创新的解决方案.
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