在阿拉巴马州社区的痴呆症预先护理规划观点:理论引导的定性研究
Christine Noelle Flaherty1, Jennifer R Bail2, Vicki Winstead3
1The University of Alabama in Huntsville/The University of Alabama, United States.
概括
对于痴呆症的预先护理计划 (ACP) 应该很早就开始. 让痴呆症患者及其照顾者参与富有同情心的,以患者为中心的讨论,确保在认知能力下降之前尊重他们的生命结束愿望.
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.
- 神经科学是一个神经科学.
背景情况:
- 预先护理计划 (ACP) 支持终身决策.
- 早期治疗痴呆症的ACP对于患者的自主性至关重要.
- 由于情绪复杂性,启动这些对话往往会被推迟.
研究的目的:
- 分析对痴呆症的趋同和分歧观点.
- 了解临床医生,护理人员和早期痴呆症患者的观点.
- 为特定痴呆症的ACP提供最佳实践信息.
主要方法:
- 二次定性数据分析. 二次定性数据分析.
- 在社会认知理论的指导下.
- 包括痴呆症临床医生,护理人员和临床前痴呆症患者的观点.
主要成果:
- 确定了利益相关者对痴呆症ACP的不同观点.
- 强调需要早期,频繁和富有同情心的非洲和非洲国家和地区讨论.
- 强调了以患者为中心的沟通的重要性,考虑到个人和护理人员的愿望.
结论:
- 早期,频繁和富有同情心的ACP对患有痴呆症的人来说至关重要.
- 以患者为中心的对话必须整合痴呆症患者及其照顾者的观点.
- 解决在启动ACP讨论方面的犹对于有效的终身护理至关重要.
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