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Updated: Sep 18, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
在外科手术前的环境中,老年人的共同决策:叙述性审查
Yotam Weiss1, Shiri Zarour, Mark D Neuman
1From the Division of Anesthesia, Intensive Care, and Pain Management, Tel-Aviv Sourasky Medical Center, Tel-Aviv University, Tel-Aviv, Israel (YW, SZ), the Department of Anesthesiology and Critical Care, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (MDN), the School of Public Health, Washington University in St Louis, St Louis, Missouri (MCP), the Division of Geriatric Medicine, Department of Internal Medicine, University of Texas Health Houston, Houston, Texas, USA (VLT), the Division of Anesthesiology, Department of Anesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, Geneva University Hospitals and Faculty of Medicine, (MG), the Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, Geneva (MG), the Institute for Medical Education, University of Bern, Bern (JBE), CINTESIS@RISE, Centre for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal (JBE), the Department of Surgery, UMons, Research Institute for Health Sciences and Technology, University of Mons (SS), the Department of Anesthesiology, Helora, Mons, Belgium (SS).
共享决策 (SDM) 通过将治疗与患者的生活质量等价值观相协调,改善老年人手术护理. 实施SDM需要通过加强协作和定制工具克服障碍,以获得更好的患者结果.
科学领域:
- 老年人手术是一门老年人手术.
- 以患者为中心的护理
- 健康决策的制定方法
背景情况:
- 老年人面临的复杂的手术决策受到脆弱和并发症的影响.
- 共享决策 (SDM) 对于将术前护理与患者优先事项相协调至关重要.
- 患者的主要优先事项包括生活质量,功能独立性和长期福祉.
研究的目的:
- 审查SDM在老年人术前护理中的作用.
- 探索在这个群体中增加SDM实施的策略.
- 突出SDM在老年手术环境中的好处和挑战.
主要方法:
- 这项研究是一篇叙事性综述.
- 它综合了现有的关于SDM的文献,以老年人接受手术为背景.
- 该审查审查了SDM实施的促进者和障碍.
主要成果:
- SDM提高了患者的满意度,减少了决策冲突,并建立了信任.
- 对SDM整合的挑战包括认知障碍,沟通问题,时间限制和证据差距.
- 有效的策略包括跨学科合作,员工培训,定制决策辅助工具和技术.
结论:
- 在术后护理中优先考虑SDM对于优化老龄化人口的结果至关重要.
- SDM确保符合患者目标和价值观的道德,知情决策.
- 需要未来的研究和政策宣传,以促进以患者为中心的老年人手术决策.
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