老年人和护理人员关于疗法的问题:计算机辅助分析
Rebecca Allen1, Alex Nakonechnyi1, Sally A Norton2
1Mount St. Joseph University, Center for IT Engagement (cITe), Cincinnati, OH, United States.
Patient education and counseling
|February 26, 2025
概括
患有晚期慢性病 (CKD) 的老年人需要针对治疗 (KT) 决策提供量身定制的信息. 患者和护理人员有不同的问题,需要有针对性的支持,以便更好地共享决策.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 晚期慢性病 (CKD) 为老年人提供复杂的治疗 (KT) 决策.
- 了解患者和护理人员的信息需求对于有效的共享决策至关重要.
研究的目的:
- 识别和比较患者和护理人员在治疗 (KT) 决策咨询期间提出的问题.
- 为 KT 讨论提供信息,制定有针对性的教育干预措施.
主要方法:
- 对36个转录的门诊息护理遭遇的分析,重点关注KT决策.
- 使用计算语言技术,并通过手动验证来补充.
- 包括75岁以上的晚期CKD患者 (eGFR ≤25毫升/分钟/1.73米2),以及他们的护理人员.
主要成果:
- 在访问期间共记录了640个问题,平均每次访问17.78个问题.
- 患者主要提出对话式合作问题 (37%),而护理人员专注于透析 (38%).
- 两个小组都询问了慢性病 (CKD) 和保守的管理,生命末期问题最小.
结论:
- 患者和护理人员在治疗 (KT) 决策过程中表现出不同的信息需求.
- 解决教育,决策和终身规划方面的差距对于改善知识技术讨论至关重要.
- 有针对性的干预措施,包括决策辅助和AI优化的辅导,可以增强患者和护理人员的支持.
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