在痴呆症的背景下,患者和护理人员对手术决策的经验
Rachel R Adler1, Richard E Chunga2, Joely A Centracchio3
1Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA.
痴呆症患者和他们的护理人员在手术决策方面扎,经常优先考虑生活质量,但很难权衡风险和益处. 护理人员承担着沉重的负担,当决策与患者的愿望不一致时,导致后悔.
科学领域:
- 老年医学 老年医学
- 手术决策 - 手术决策
- 痴呆症护理 痴呆症护理 痴呆症护理
背景情况:
- 痴呆症患者 (PLWD) 的手术风险增加.
- 对PLWD的手术决定涉及护理人员,但经验研究不足.
研究的目的:
- 探索患者和护理人员在PLWD手术决策方面的经验.
- 确定痴呆症患者手术选择中的挑战和优先事项.
主要方法:
- 与11名PLWD和36名护理人员进行了深入采访.
- 反思性主题分析决策经验,优先事项和满意度.
主要成果:
- 生活质量是PLWD和护理人员的主要优先事项.
- 难以预测治疗的好处和风险是常见的.
- 当患者的愿望不清楚时,护理人员经历了重大负担和决定性的遗憾.
结论:
- PLWD和护理人员寻求在手术/非手术之间的平衡权衡.
- 需要为PLWD及其照顾者提供有针对性的决策支持.
- 改善手术决策可以提高PLWD的结果.
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