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将临床推理融入患者决策 帮助人们做出保守的脏管理和透析决策:以用户为中心的干预开发设计
Anna Winterbottom1,2, Andrew Mooney2, Lynne Russon2
1Leeds Institute of Health Sciences, School of Medicine, University of Leeds, Leeds, United Kingdom.
Kidney medicine
|April 21, 2025
概括
保守的管理为患有功能衰竭的老年人提供了更好的生活质量. 约克郡透析和保守护理决策援助支持透析和保守护理之间的知情选择.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 老年病的医生 老年病的医生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与透析相比,保守性管理 (CKM) 为患有功能衰竭的老年人提供了改善的生活质量和减少治疗负担.
- 关于功能衰竭治疗的决策是复杂的,对患者和医疗保健提供者来说是情感上的负担.
- 现有的患者资源往往不足以支持透析和CKM之间的知情选择.
研究的目的:
- 描述约克郡透析和保守护理决策援助的发展.
- 创建一个资源,支持共享决策的老年人功能衰竭.
主要方法:
- 进行了两项研究:一个采用深度访谈的横截面研究和一个以用户为中心的代设计,涉及多个利益相关者.
- 用专题分析分析了英国三个脏部门的功能衰竭的老年人和医疗保健专业人员的数据.
- 资源开发涉及反复评估和来自患者,家庭和多学科专业人员的投入.
主要成果:
- 出现了三个关键主题:过渡到CKM,改变脏护理的指标和终身护理准备.
- 开发的患者决策辅助工具通过基于利益相关者的反的16个版本反复改进.
- 最终的资源被患者,家庭和专业人士验证为准确,平衡,可访问和与决策相关.
结论:
- 开发的决策辅助工具提高了健康素养,并支持功能衰竭患者的共同决策.
- 来自专业临床推理的证据为该资源提供了信息,解决了对更好的决策支持的需求.
- 该资源促进了关于保守脏管理和透析之间的选择的知情对话.
关键词:
晚期脏疾病是什么?慢性脏疾病 慢性脏疾病临床决策 临床决策临床决策支持 临床决策支持临床推理 临床推理临床医生,临床医生.提供全面的保守护理.保守的护理 保守的护理保守的脏管理.保守的管理方式.决策支持工具 决策支持工具透析是通过透析进行的.透析护士 透析护士最终阶段的脏疾病.最终阶段的功能衰竭.医疗保健专业人员 医疗保健专业人员在知情下做出决策.面试 面试 面试 面试脏医生是什么意思? 脏医生是什么意思功能衰竭 功能衰竭是什么?腎臟護士 腎臟護士腎臟病學家 - - 腎臟病學家.腎病學護士 腎病學護士抚慰性护理是一种缓解性护理.帮助患者做出决定的帮助.患者信息 患者信息患者参与 患者参与质量上的影响是有质量的.推理 推理 推理护士 护士 护士脏医生 脏医生共享决策的共同决策支持性护理 支持性护理
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