一个社区中老年人预先照顾计划计划的有效性:一个随机对照试验
Mihyun Park1, Ji Yeon Choi2, Heejin Chung1
1Research Institute for Hospice/Palliative Care, College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Secho-gu, Seoul, South Korea, 06591.
Geriatric nursing (New York, N.Y.)
|July 10, 2025
概括
汉诺基基计划II改善了单独生活的老年人的预先护理计划 (ACP). 家庭护理护士促进了讨论,大大提高了干预小组在ACP参与中的自我效能.
科学领域:
- 老年学是一门学科.
- 护理 护理 护理
- 公共卫生 公共卫生
背景情况:
- 独自生活的老年人在事先护理规划 (ACP) 中面临着独特的挑战.
- 需要有结构的干预措施来支持以患者为中心的决策和参与ACP.
- 家庭护理护士在促进非洲和非洲国家和地区讨论方面发挥着至关重要的作用.
研究的目的:
- 评估汉诺吉吉计划II的有效性,该计划是针对独居的老年人而采取的ACP干预措施.
- 评估该计划对预先指令 (AD) 知识,非洲和非洲国家参与和生活目标的影响.
- 确定干预是否提高了在非洲和非洲国家参与中的自我有效性.
主要方法:
- 进行了一项随机对照试验,干预组有29名参与者,控制组有30名参与者.
- 涉及的干预措施促进了由家庭护理护士领导的非洲和非洲国家和地区讨论.
- 结果指标包括AD知识,ACP参与和生活目标.
主要成果:
- 这两组在干预后的AD知识和ACP参与度都有所改善.
- 与对照组相比,干预组在ACP参与方面表现出明显更大的自我有效性增加 (F = 6.336,p=.015).
- 生活的目的没有显示群体之间的显著差异.
结论:
- 汉诺基基计划II有效地提高了单独生活的老年人中ACP参与的自我效能.
- 护士在启动和指导ACP讨论方面至关重要,特别是在社会弱势群体方面.
- 结构化的ACP干预措施可以赋予老年人以患者为中心的决策的能力.
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