增加提前护理规划讨论和文档
Allison K Mclendon1, Annmarie L Walton1, Mariah S Prince1
1From Duke University, Durham, North Carolina.
Journal of the advanced practitioner in oncology
|April 14, 2025
概括
预先护理规划 (ACP) 讨论和高风险血液性恶性瘤患者的文档显示,在接受教育后,患者的病情略有增加. 大多数供应商认为文档化过程是高效的,没有破坏性的,这表明成功实施的潜力.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗信息学 医疗信息学
背景情况:
- 预先护理规划 (ACP) 对瘤病患者至关重要,改善结果并降低终身护理成本.
- 有效的ACP增强了以患者为中心的护理,并使治疗与患者价值观保持一致.
研究的目的:
- 增加提前护理规划 (ACP) 讨论和对高死亡风险的血液性恶性瘤患者的文档.
- 整合一个死亡率预测模型,以识别有风险的患者,以便及时进行ACP干预.
- 评估对提供商工作流程的影响,并最大限度地减少感知到的中断.
主要方法:
- 利用经过验证的死亡率预测模型来识别有风险的患者.
- 实施了一种通知系统,供供应商可以启动ACP讨论和标准化文档.
- 进行了回顾性图表审查,以评估在提供者教育课程之前和之后的ACP文档率.
- 管理了一项供应商调查,以评估工作流程中断.
主要成果:
- 在8个月的时间里,共发现了15名风险患者.
- 在教育课程之前的ACP文件记录率为37.5%,在教育课程之后的ACP文件记录率为42.9%,增幅不显著.
- 尽管缺乏统计学意义,但有43%的风险患者记录了非洲与非洲的后教育.
- 83%的提供商报告说没有任何重大工作流程中断,认为文档化方法有效.
结论:
- 该项目实现了预先护理计划 (ACP) 文件的供应商买入.
- 提供商认为标准化的"书端"文档格式是有效的.
- 建议继续实施ACP文档,尽管需要对更大的患者队伍进行进一步评估.
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