对患有痴呆症的人进行紧急诊所处置对话的特征:民族学研究的协议
Justine Seidenfeld1,2,3, Matthew Tucker1, Melissa Harris-Gersten1,4
1Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System, Durham, NC, United States.
JMIR research protocols
|December 6, 2024
概括
这项研究观察了痴呆症患者及其护理伙伴的急诊室 (ED) 处置对话. 这些发现将改善患者为中心的护理和医院入院决策期间的沟通.
科学领域:
- 老年学是一门学科.
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 每年近40%的痴呆症患者访问急诊室 (ED).
- 对于痴呆症患者来说,医院处置决定 (入院与出院) 是关键的,昂贵的和复杂的.
- 目前对痴呆症患者ED倾向的沟通和共享决策的理解是有限的.
研究的目的:
- 描述目前在ED处置对话中的现行做法,涉及患有痴呆症的人及其护理伙伴.
- 从患者和护理合作伙伴的角度收集关于这些关键讨论的见解.
主要方法:
- 一个民族学设计,包括对ED遭遇的直接观察.
- 与患者护理合作伙伴进行半结构面试,以探索决策过程.
- 数据收集的重点是ED访问期间的处置讨论.
主要成果:
- 数据收集始于2023年10月,截至2024年7月,已招募和观察了13个二.
- 该研究预计将于2024年12月完成.
- 正在收集关于现实世界的倾向对话的初步观察.
结论:
- 结合观察和采访的新型研究方法为痴呆症患者的ED倾向提供了独特的见解.
- 预计这些发现将有助于开发更加以患者为中心的干预措施.
- 更好的理解可以增强在重症监护过渡的沟通和共享决策.
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