为门诊中风幸存者量身定制的护理目标沟通引发干预的实施:试点研究
Nauzley C Abedini1,2, Erin K Kross2,3, Ruth A Engelberg2,3
1Division of Gerontology and Geriatric Medicine, Department of Medicine, University of Washington, Seattle, WA, USA.
一项试点研究发现,特定于中风的启动指南是可行和可接受的,可以改善中风幸存者及其临床医生之间的治疗目标对话 (GOCC). 需要进一步的研究来证实它的有效性.
科学领域:
- 神经学 神经学
- 医疗保健通讯 医疗保健通讯
- 老年医学 老年医学
背景情况:
- 严重疾病沟通工具,如启动指南,可以增强医疗目标对话 (GOCC).
- 这些工具以前没有在中风患者群体中进行评估.
- 门诊中风幸存者需要有效的沟通策略来规划护理.
研究的目的:
- 评估适用于门诊中风幸存者的适应性启动指南的可行性和可接受性.
- 评估指南在中风幸存者,他们的代孕产妇和治疗临床医生的可用性.
- 确定适应指南是否可以促进中风护理中的护理目标对话.
主要方法:
- 一项随机试点研究与60岁以上的中风幸存者或他们的代孕进行.
- 参与者被随机分配,接受启动指南 (干预) 或不接受 (控制).
- 通过招生和数据收集来衡量可行性;通过访问后调查来衡量可接受性.
主要成果:
- 招生可行性为63% (15/24有资格).
- 干预患者/代孕者 (7/7) 和临床医生 (全部6) 报告了高接受度.
- 两名干预患者,而对照组中没有人,有新记录的护理目标对话.
结论:
- 在门诊环境中实施特定于中风的启动指南是可行的和可以接受的.
- 该指南显示了改善关于中风幸存者的护理目标沟通的潜力.
- 需要进行一项更大的随机对照试验,以确定指南在增强GOCC.效果方面的有效性.
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