构建和临床应用一个分阶段评估指数方案,用于家庭临终关怀
Linan Zuo1, Ying Ding2, Sujuan Liu2
1Yangzhou University, School of Nursing, School of Public Health, Yangzhou, Jiangsu Province, 225000, China; Department of Nursing, Xishan People's Hospital, Wuxi, Jiangsu Province, 214000, China.
概括
这项研究开发了中国家庭临终关怀的分期评估框架,改善了护理规划和患者满意度. 该框架确保了针对性护理干预和对绝症患者有效的工作安排.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在中国,家庭临终关怀缺乏标准化的分期和工作流程协议.
- 有效的患者分期对于优化息护理提供和资源分配至关重要.
研究的目的:
- 制定一个全面的分期评估框架,对中国的家庭临终关怀.
- 建立基于证据的工作流程标准,用于绝症管理.
- 验证开发的框架和护理方案的临床实用性.
主要方法:
- 使用了系统的文献审查,德尔菲技术和分析层次过程.
- 专家咨询 (两轮) 取得了较高的响应率和权威系数.
- 临床验证评估了该框架对护理规划和患者满意度的影响.
主要成果:
- 完成了一个分阶段评估指数方案,包括4个主要指标和31个次要指标.
- 通过专家的共识 (肯德尔的W = 0.557) 证明了高级别之间的可靠性.
- 临床验证证实,在访问频率和护理准备方面提高了效率.
结论:
- 开发的框架为家庭临终关怀评估和护理提供了一个科学稳健的标准.
- 基于该框架的有针对性的护理计划增强了心理支持,人文护理和护理干预.
- 这种方法显著提高了家庭宿舍环境中的患者和家属的工作效率和满意度.
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