在外科手术前的预先护理计划:麻醉师的知识,态度和实践的混合方法研究
Douglas H Blackwood1,2, Cecilia Vindrola-Padros3, Monty Mythen1
1Centre for Anaesthesia and Perioperative Medicine, University College London Division of Surgery & Interventional Science, London, UK.
英国麻醉师对预先护理计划 (ACP) 有很高的知识和积极的态度. 然而,由于外科手术死亡率低且角色不清楚,这阻碍了外科手术前讨论.
科学领域:
- 医学科学
- 手术护理
- 患者倡导
背景情况:
- 提前护理计划 (ACP) 使患者能够记录生命结束的愿望.
- 每年有数千人死于手术后,
- 通过将护理与他们的优先事项相协调, 外科手术的高风险患者可以从中受益.
研究的目的:
- 评估英国麻醉师对ACP的知识,态度和做法.
- 确定实施经营性ACP的障碍.
主要方法:
- 一个解释性的混合方法研究.
- 全国麻醉师在线调查,随后进行定性采访和观察.
- 通过调查结果进行数据整合,以指导定性探索和叙事综合.
主要成果:
- 被调查的麻醉师对ACP的认可和了解高 (92%).
- 大多数 (78%) 认为手术前是ACP讨论的合适时机,但在实践中不常见.
- 关键障碍包括被认为低的手术死亡率,可逆并发症,对身体优化的关注以及麻醉师不清楚的角色.
结论:
- 这项研究系统地描述了英国麻醉师的ACP知识,态度和实践.
- 人们认为低死亡风险,可逆并发症和角色模两可是术前ACP的重要障碍.
- 需要进一步的研究和更明确的指导方针来促进经营期间的非洲和非洲国家和地区的整合.
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