在事先的护理规划中,生活故事工作是否可以支持关系自主? 来自EARLI项目的故事
Ava Karusoo-Musumeci1, Ling Yeoh1,2, Caroline Edwards1,2
1Neuroscience Research Australia, Sydney, New South Wales, Australia.
Australasian journal on ageing
|May 3, 2025
概括
生活故事的工作通过促进基于价值的对话,在事先的护理规划中增强了关系自主性. 这种以艺术为基础的方法支持老年人在整个规划过程中的决策和沟通.
科学领域:
- 老年学是一门学科.
- 生物伦理学生物伦理学
- 健康心理学 心理健康心理学
背景情况:
- 预先护理规划 (ACP) 已经从专注于预先指示转变为强调持续的对话和价值澄清.
- 关系自主性,即在社会背景下考虑自主性,越来越多地得到认可,但在实际的非洲国家和地区应用中未得到充分探索.
- 生活故事工作提供了一种新的方法,可以在ACP中实现关系自主.
研究的目的:
- 探索如何生活故事的工作可以在事先的护理规划中实现关系自主.
- 为了说明以艺术为基础的干预措施在支持老年人ACP的实际应用.
主要方法:
- 这项研究利用了来自增强预先护理规划和生命审查纵向干预 (EARLI) 项目的三段视频.
- EARLI项目是一个以艺术为基础的干预,采用生活故事工作.
- 参与者是生活在社区中的老年人.
主要成果:
- 生活故事的工作有效地促进了与会者关于价值观和偏好的讨论.
- 干预显然增强了参与者之间的关系自主性.
- 生活故事的工作积极影响了各个阶段的预先护理计划的参与.
结论:
- 将生活故事工作融入预先的护理计划中,为培养关系自主提供了一个实用的策略.
- 通过生活故事工作产生的个人叙述,为ACP内部的决策和沟通提供了宝贵的见解.
- 这种方法支持更以人为中心和关系为基础的预先护理规划模式.
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