在内科诊所改善高级护理规划讨论
Michael J Brockman1, Jared J Bies2, Hedaia Algheriani2
1Internal Medicine, Texas Tech University Health Sciences Center El Paso Paul L. Foster School of Medicine, El Paso, USA.
Cureus
|January 6, 2025
概括
这项研究强调了先进护理规划 (ACP) 文件中的重大差距,只有1.2%的患者有指令. 标准化的教育有效地提高了对非洲和非洲国家和地区讨论的认识和参与度.
科学领域:
- 内部医学 内部医学
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 先进的护理计划 (ACP) 对于确保患者在医疗决策中的自主性至关重要.
- 在临床环境中,先进指令的文档存在重大差距.
- 医生与患者之间的沟通是促进非洲和非洲国家和地区讨论的关键.
研究的目的:
- 在内科诊所标准化高级护理计划 (ACP).
- 为了启动医生与患者的沟通,关于先进的医疗指令.
- 评估患者的知识,理解和愿意追求先进的指令.
主要方法:
- 一项预干预调查评估了患者的人口统计,病情和先前接触预先指示的情况.
- 为感兴趣的患者提供了有关先进医疗指令的标准化教育材料.
- 干预后的一项调查评估了教育对ACP讨论舒适性和完成可能性的影响.
主要成果:
- 在干预之前,只有1.2%的患者拥有先进指令.
- 老年患者和那些患有更多并发症的患者更有可能先前进行了ACP讨论.
- 标准化教育显著提高了患者的参与度和对先进指令的认识.
结论:
- 在先进的护理规划文件中发现了大量的缺陷.
- 需要有针对性的干预措施来鼓励ACP,特别是对于年轻的患者和具有较少伴随性疾病的患者.
- 标准化的教育资源有效地促进了非洲和非洲国家和地区的讨论和参与.
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