临床实践中老年人价值阐释的仪器-一个范围审查
Geerke van den Bosch1,2, Kathelijn Versteeg1,2,3, Suzanne Metselaar4
1Department of Medical Oncology, VU Medical Center Amsterdam, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Journal of the American Geriatrics Society
|January 10, 2025
概括
医疗保健专业人员现在可以访问一个分类的工具列表,以帮助老年人澄清他们的价值观,以获得更好的临床护理. 本指南有助于选择正确的工具,以有效的以患者为中心的决策.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 生物伦理学生物伦理学
背景情况:
- 将患者的价值观与治疗结合起来,对于老年人护理至关重要.
- 医疗保健提供者在有效地唤起患者价值观方面面临挑战.
- 进行了范围审查,以解决临床实践中的这一差距.
研究的目的:
- 绘制和分类旨在阐明老年人的价值观的工具.
- 为医疗保健专业人员在选择适当的价值澄清工具方面提供指导.
主要方法:
- 在主要数据库 (PubMed,Psychinfo,CINAHL,Cochrane Library) 进行系统的文献搜索,直到2023年10月.
- 纳入标准侧重于在临床环境中澄清老年人的价值观的工具.
- 排除只关注愿望,偏好或一般目标的工具.
主要成果:
- 从7759项选的研究中确定了37种独特的仪器.
- 工具按设置分类 (一般,健康记录,预先指令,非洲和非洲国家和地区计划,决策支持).
- 对价值澄清的方法被分类 (开放/关闭,以过程/决策为导向,面对/不面对,明确/隐含).
结论:
- 确定和分类了一系列用于阐明老年人价值观的工具.
- 本综述介绍了医疗保健专业人员可用的工具,以澄清患者价值观.
- 按方法分类为选择合适的工具提供了实际指导.
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