在住院通用内科病房设置中评估一种新的护理目标讨论初始化工具 (MyCare):可行性,可接受性和可用性研究
Maren Kimura1, Sydney Ruller1, Alan Forster1
1Ottawa Hospital Research Institute, Ottawa, ON, Canada.
JMIR formative research
|October 28, 2025
概括
在线工具MyCare帮助重病患者明确了以人为本的护理目标. 它是可行的和可以接受的,赋予患者权力与医生和家人讨论他们的愿望.
科学领域:
- 医疗信息学 医疗信息学
- 以患者为中心的护理
- 提前护理计划 提前护理计划
背景情况:
- 医疗目标对话对于重病患者的以人为中心的护理至关重要,但实施不一致.
- 需要有效的沟通工具来弥合关于护理目标的一致讨论的差距.
研究的目的:
- 开发和评估MyCare,这是一个交互式在线工具,旨在推动护理目标讨论.
- 评估MyCare在住院重病患者的可行性,可接受性和可用性.
主要方法:
- 一项混合方法研究,涉及两家医院内科病房的重病患者.
- 参与者完成了MyCare工具,随后进行了半结构面试和验证调查 (系统可用性量表,电子卫生识字量表).
- 医生和家庭成员也参加了采访,以评估预先护理计划的参与度和工具的可接受性.
主要成果:
- 患者平均需要32分钟才能完成MyCare. 发现该工具有助于76%的患者了解他们的优先事项,64%的患者考虑未来的护理偏好.
- 预先护理规划参与得分显示,干预后的不显著增加 (平均差异为0.09,P=.22).
- 患者发现澄清目标,识别支持人员,并拥有对话资源是最有用的;医生重视患者的优先价值和目标.
结论:
- 我的护理证明了重病患者的可行性和可接受性,有助于讨论护理目标.
- 未来的工具应该是简洁的,优先考虑医生和患者的共同目标,并使患者有能力为他们的护理偏好辩护.
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