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传达先进多重疾病的预后不确定性:一项多方法定性研究,共同设计实践建议
Simon Noah Etkind1,2, Rosanna Fennessy3, James Wang4
1Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, East Forvie Building, Forvie Site, Addenbrookes Biomedical Campus, Robinson Way, Cambridge, CB20SZ, UK. Sde23@medschl.cam.ac.uk.
European geriatric medicine
|May 24, 2025
概括
共同设计的建议改善了对晚期多发病症的老年人预后不确定性的沟通. 这种方法支持并行规划,并通过培养信任和公开讨论来增强护理经验.
科学领域:
- 老年病学和息治疗
- 卫生沟通健康沟通
- 定性研究方法 定性研究方法
背景情况:
- 患有高级多病症的老年人经历了不可预测的疾病轨迹.
- 有效沟通预后不确定性至关重要,但缺乏多病症的证据.
- 共同设计的建议可以通过结合患者和专业专业知识来弥补这一差距.
研究的目的:
- 共同设计临床实践建议,以传达晚期多病症的预后不确定性.
- 根据患者,护理人员和医疗保健专业人员的实践经验做出建议.
- 改善不确定性的沟通,以获得更好的患者护理.
主要方法:
- 进行了一项多方法的定性联合设计研究.
- 第一阶段涉及采访和聚焦小组与老年人,照顾者和卫生专业人员.
- 第二阶段利用利益相关者活动进行反和反复开发建议.
主要成果:
- 个性化方法,信任关系和充分的准备是讨论预后不确定性的关键.
- 在谈判范围内进行公开,诚实的讨论是必不可少的.
- 临床医生应该指南支持,并参与平行规划未来的可能性.
结论:
- 共同设计的建议提供了一个框架,用于传达先进多病症的预后不确定性.
- 实施这些建议可以减轻不确定性的负面影响.
- 改善沟通可以为老年人带来更好的整体护理体验.
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