与患者预先护理计划的准备程度相关的因素:系统性审查
Milad Asghardoust Rezaei1, Ali Zahiri1, Toktam Kianian2
1Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
BMC public health
|January 8, 2025
概括
患者为预先护理计划 (ACP) 的准备程度受到态度,社会规范和感知控制的影响. 了解这些因素对于有效的终身护理讨论和与患者价值观协调护理至关重要.
科学领域:
- 老年病学和息治疗
- 健康行为和沟通
- 医学伦理与决策 - - 医学伦理与决策
背景情况:
- 预先护理规划 (ACP) 将终身护理与患者的价值观,目标和偏好保持一致.
- 患者为ACP做好准备是参与生命终结对话的先决条件.
- 调查影响预先护理计划 (RACP) 准备程度的因素至关重要.
研究的目的:
- 系统地审查和识别影响患者预先护理计划 (RACP) 准备程度的因素.
- 通过计划行为理论 (TPB) 的透视来分析这些因素.
主要方法:
- 在没有时间限制的情况下对4个数据库 (PubMed,Scopus,Web of Science,ProQuest) 进行系统审查.
- 质量评估使用乔安娜·布里格斯研究所和评估工具进行横截面研究.
- 通过有针对性的内容分析进行数据分析,以计划行为理论 (TPB) 为指导.
主要成果:
- 从3227个最初的标题中,选出了22篇相关文章.
- 态度因素包括非洲和非洲国家和地区的培训,健康状况经验,社会人口统计和精神心理准备等.
- 主观规范包括社会支持,家庭参与和医疗保健的可获得性.
- 感知行为控制包括关于ACP的对话,准备行动和代理决策者指定的对话.
结论:
- 正如 TPB 预测的那样,多个因素对 RACP 产生重大影响.
- 建议采用一种协作式的多因素方法,考虑患者特定的病情和疾病阶段.
- 医疗保健提供者应评估患者/家庭的准备程度,并相应地调整培训/对话.
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