在紧急医疗服务响应期间,关于老年痴呆症患者治疗偏好的沟通
Lauren R Pollack1,2, Danae G Dotolo1,2, Anna L Condella1,2,3
1Division of Pulmonary Critical Care and Sleep Medicine, University of Washington, Seattle, Washington, USA.
Journal of the American Geriatrics Society
|September 4, 2025
概括
紧急医疗服务 (EMS) 提供者努力记录老年痴呆症患者的治疗偏好. 与家庭成员的直接沟通可以改善这些患者的目标一致的护理.
科学领域:
- 老年学
- 紧急医疗
- 痴呆症护理
背景情况:
- 紧急医疗服务 (EMS) 对患有急性健康问题的老年人至关重要.
- 患有痴呆症的人往往更喜欢以舒适为中心的终身护理.
- 对于痴呆症患者在EMS接触期间的治疗偏好信息的了解有限.
研究的目的:
- 在EMS响应期间分析老年痴呆症患者对治疗偏好的沟通.
- 找出这一群体中符合目标的护理障碍和促进因素.
主要方法:
- 对65岁以上痴呆患者的EMS事件报告进行定性内容分析.
- 包括标准:EMS评估,住院 (2011-2021年),危急疾病 (国家早期预警分数≥7).
- 记录治疗偏好,沟通障碍和促进者的特征.
主要成果:
- 审查了171份患者报告,51%来自养老院.
- 只有23%的人能表达需求,24%的人有家人.
- 在27%的报告中记录了治疗偏好;挑战包括护理人员沟通困难.
结论:
- 对于患有痴呆症的重症老年人来说, EMS 提供者面临着重大挑战.
- 障碍包括与专业护理人员沟通困难和依赖二手信息.
- 通过电话与代理决策者,特别是家庭成员进行直接沟通,有助于实现目标一致的护理.
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