基于咨询的宿舍息护理团队对自决权的影响 尊重率
Hea Lim Choi1,2, Jeong Ah Kim3, Mi Hyeon Seo3
1Department of Clinical Research Design and Evaluation, Samsung Advanced Institute of Health Science and Technology (SAIHST), Sungkyunkwan University, Seoul, Korea.
Palliative & supportive care
|November 3, 2025
概括
基于咨询的韩国三级医院的宿舍息护理团队显著提高了预先护理规划完成率和尊重患者在终身决策中的自决权.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 生命终端决策 - - 生命终端决策
- 医学伦理 医学伦理
背景情况:
- 韩国的三级医院越来越多地实施基于咨询的宿舍息护理团队.
- 有限的研究存在于这些团队对自决的影响在终身护理中的尊重率.
- 了解这种影响对于增强患者自主性和终身护理实践至关重要.
研究的目的:
- 为了评估自决的趋势,尊重有关事先护理计划的比例.
- 在引入基于咨询的宿舍息护理团队之前和之后评估这些趋势.
- 分析团队对预先护理计划完成率的影响.
主要方法:
- 一项回顾性观察性研究使用韩国三级医院 (2018年3月 - 2023年12月) 的医疗记录进行.
- 包括的患者年龄在19岁及以上.
- 检查了患者的特征,提前护理规划完成率和自决尊重率,团队实施后.
主要成果:
- 411名患者被转介到临终关怀临终关怀小组.
- 提前护理计划完成率显著增加,从27.0%增加到60.6% (p < 0.001).
- 自决权的尊重率显著增加,在2021年至2022年间从27.6%上升到43.2%.
结论:
- 引入基于咨询的临终关怀息护理团队显然改善了对患者在终身护理中的自决权的尊重.
- 研究结果支持将宿舍护理团队纳入第三级医院.
- 这种整合可以增强早期和知情的终生决策过程.
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