确保在繁忙的外科实践中提供符合目标的护理
1University of Utah Hospital, General Surgery, Salt Lake City, Utah.
Seminars in colon & rectal surgery
|February 24, 2025
概括
随着美国人口老龄化,将患者目标纳入老年人手术决策至关重要. 本综述提供了一个框架,以指导外科医生在提取和使用患者目标以更好地调整护理.
科学领域:
- 老年人手术是一门老年人手术.
- 以患者为中心的护理
- 外科手术决策的制定能力
背景情况:
- 美国人口老龄化,导致越来越多的老年人有多种健康问题寻求外科咨询.
- 目前的指导方针建议将患者目标纳入老年人手术决策中,但实施仍然缓慢.
- 年龄友好型卫生系统倡议强调以患者为中心的护理,包括目标对齐.
研究的目的:
- 为在外科实践中引出和利用患者目标提供一个实际的框架.
- 为了促进接受外科评估的老年人目标一致的护理.
- 为了解决老年手术中以患者为中心的目标整合缓慢的吸收问题.
主要方法:
- 这是一篇综述性文章,综合现有文献和指导方针.
- 该审查侧重于患者目标提取和整合到外科决策中的框架.
- 它借鉴了主要的外科和老年病学协会的建议.
主要成果:
- 提出了一个框架,用于在外科设置中引出和使用患者目标.
- 该审查强调了老年手术中共享决策的重要性.
- 它确定了实施目标调整护理的潜在障碍和促进者.
结论:
- 实施患者目标诱导对于在老年手术中实现目标一致的护理至关重要.
- 一种结构化的方法可以改善将患者偏好纳入外科治疗计划的整合.
- 该框架旨在提高老龄化外科人员的护理质量.
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