老年人的压力测试后决策和首选结果的观点
Krishna K Patel1,2,3, Tansu Eris1,2,3, Christina M Pacheco4
1Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
接受压力测试的老年人希望更多地讨论与年龄相关的问题,并重视生活质量. 将老年评估纳入共同决策可以改善以患者为中心的心脏护理.
科学领域:
- 老年医学
- 心脏病学
- 以患者为中心的护理
背景情况:
- 对于老年人的冠状动脉疾病,非侵入性压力成像是常见的.
- 老年病症增加了对侵入性检测并发症的脆弱性.
研究的目的:
- 探讨老年人和护理人员对压力后成像决策的态度和所期望的结果.
- 了解老年障碍对这些决定的影响.
主要方法:
- 使用焦点组与患者 (≥75岁) 和护理人员进行定性研究.
- 对患者与医生的沟通,决策偏好和老年因素的讨论进行主题分析.
- 用于主题识别的常数比较方法.
主要成果:
- 参与者希望更多地讨论与年龄相关的挑战以及医生为明智决策提供支持.
- 对医生的信任影响了患者参与决策.
- 生活质量和独立性优先于长寿,
结论:
- 年长的成年人希望更好地沟通与年龄有关的问题,并重视护理人员的意见.
- 结合老年评估和患者目标的共同决策可以提高对这一群体的护理.
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