德国全科医院的提前护理规划:对患者期望和经验的长度定性研究
Alexandra Schmidt1, Klaus Weckbecker2, Jürgen In der Schmitten3
1Chair of General Practice II and Patient-Centredness in Primary Care, Institute of General Practice and Primary Care (iamag), Faculty of Health, Witten/Herdecke University, Witten, Germany.
概括
德国全科医院的便利提前护理计划 (ACP) 帮助门诊患者保持自主,减少家庭负担. 结构化的讨论和清晰的沟通是令人满意的ACP进程的关键,提高了对未来医疗决策的准备.
科学领域:
- 一般实践 一般实践
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 提前护理计划 (ACP) 对于明智的医疗决策至关重要,但研究往往忽视了积极参与的门诊人员.
- 在了解非危急病患者接受方便ACP治疗的经历方面存在差距.
- 本研究探讨了在初级保健环境中探索非洲和非洲国家和地区 (ACP) 观点的必要性.
研究的目的:
- 调查门诊患者对德国一般诊所中便利的ACP的看法.
- 了解患者的期望,动机,以及对ACP进程的感知结果.
- 确定有助于积极的非洲国家和地区经验的因素.
主要方法:
- 使用半结构化的电话采访进行长度定性研究.
- 采访是在ACP之前进行的,在ACP后立即进行的,在ACP后12个月进行的.
- 对八名德国患者 (平均年龄为63.6岁) 的数据进行了主题定性文本分析.
主要成果:
- 患者重视全面的预先指示和结构化的ACP对话.
- 关键的激励因素包括保持自主权和减轻家庭负担.
- 值得信赖的促进者,结构化的指导和明确的沟通,特别是关于医疗保健代理人的沟通,对于满意度至关重要.
结论:
- 方便ACP使患者能够表达价值观和偏好,帮助决策和减少不确定性.
- 将ACP纳入常规的初级保健可以提高患者的自主性和准备能力.
- 需要进一步的研究,以优化ACP的实施和评估长期影响.
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