在中风患者中提前进行护理规划:范围审查
Margareta Hesti Rahayu1,2, Sri Sutarni3, Heny Suseani Pangastuti4
1Doctoral Program of Medical and Health Sciences, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.
International journal of nursing sciences
|October 10, 2025
概括
对中风患者的预先护理计划 (ACP) 未得到充分利用,并面临实施挑战. 有效的战略和专业间的合作对于改善这一群体中的ACP至关重要.
科学领域:
- 神经学 神经学
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 预先护理计划 (ACP) 对患有慢性疾病的患者至关重要.
- 脑卒中患者往往有复杂的需求,需要仔细考虑未来的护理.
- 目前关于在中风患者中ACP实施的文献有限.
研究的目的:
- 描述中风患者预先护理计划 (ACP) 的实施情况.
- 确定ACP在中风护理中的战略,挑战,好处和影响因素.
主要方法:
- 使用Arksey和O'Malley框架进行了全面的范围审查.
- 在包括ScienceDirect,PubMed,Scopus,ProQuest和Medline在内的主要数据库中进行了搜索.
- 纳入标准集中在成人/老年中风患者,医院/社区环境和英语/印度尼西亚出版物中ACP的原始研究.
主要成果:
- 在1,050篇识别的文章中,只有8篇符合纳入标准,突出了研究缺口.
- 出现了四个关键主题:非洲和中东的战略实施,挑战,好处和影响因素.
- 实施策略涉及方法,沟通,角色,媒体和文档;挑战包括缺乏信息,设施,患者失能和不情愿.
结论:
- 对于中风患者来说,ACP并未得到广泛实施,面临重大挑战.
- 需要有效的策略,包括跨专业的合作,以加强中风患者的ACP.
- 建议对中风患者的ACP进行进一步的研究,强调专业间的合作.
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