菲律宾COPD患者关于预先护理计划的知识和偏好:一个横截面调查
Roland Reuben B Angeles1, Manuel C Jorge1, Marc Evans M Abat1
1Philippine General Hospital, University of the Philippines Manila.
Acta medica Philippina
|December 2, 2024
概括
大多数患有慢性阻塞性肺病 (COPD) 的患者缺乏预先护理计划 (ACP) 的意识. 然而,他们希望进行讨论,相信非洲和非洲国家能够改善医疗保健和生活质量.
科学领域:
- 肺部医学 肺部医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响患者的生活质量,需要仔细考虑未来的医疗保健.
- 提前护理计划 (ACP) 对于确保以患者为中心的护理至关重要,但在许多人群中,意识和参与仍然很低.
研究的目的:
- 调查COPD患者关于预先护理计划 (ACP) 的当前理解,经验和观点.
- 确定在COPD患者中参与ACP参与的障碍和促进者.
主要方法:
- 在菲律宾总医院对90名被诊断患有COPD的患者进行了横截面调查.
- 使用描述性统计数据分析了患者对ACP的熟悉程度,终身护理和做不复苏 (DNR) 命令,以及他们对ACP讨论的态度.
主要成果:
- 显著大多数COPD患者不知道ACP (95.55%),终身护理 (99.89%) 和DNR命令 (100%).
- 尽管意识较低,但大多数患者 (94.44%) 愿意参加ACP讨论,将其视为有益 (96.67%) 而不是令人痛苦.
- 就业状况,生活条件和COPD评估测试 (CAT) 成绩影响了患者对ACP的准备以及医疗保健决策的授权.
结论:
- 在这一群体中,COPD患者表现出对ACP的深刻缺乏熟悉,但表达了对这些讨论的强烈愿望.
- 在ACP中,有潜力提高COPD患者的医疗保健和生活质量.
- 人口和临床因素影响患者参与ACP,表明有针对性的干预措施可能是有益的.
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