对早期护理计划的态度:一般实践中的定性访谈研究
Sonya Bushell1, Ishbel Winter-Luke2, Elizabeth Dennis3
1Hull York Medical School, Hull, United Kingdom hysb44@hyms.ac.uk.
概括
提前护理计划 (ACP) 可以更早地与管理长期疾病的成年人讨论. 关于主动规划和为变化做准备的早期对话被认为是不那么令人痛苦的,对以人为中心的护理有益.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 预先护理计划 (ACP) 研究主要集中在健康状况恶化的个体上.
- 关于在没有晚期疾病或严重虚弱的情况下患有长期疾病 (LTC) 的人群中对早期ACP的态度的研究有限.
研究的目的:
- 探索非癌症LTC患者对ACP的理解.
- 确定关于如何进行非洲和非洲国家和地区讨论的偏好,包括在年度健康审查中.
主要方法:
- 质量,半结构化,深度采访21名参与者 (年龄在61-91岁),他们患有心血管疾病,糖尿病,脏疾病或慢性阻塞性肺病.
- 使用批判现实主义方法进行了主题分析.
- 参与者来自各种普通实践环境 (村庄,市镇,沿海城镇,城市).
主要成果:
- 参与者确定了三种形式的ACP:主动规划,准备变化和终身讨论.
- 早期的ACP被认为是不那么痛苦和持续的过程,促进了对偏好和未来决策的讨论.
- 认为ACP是促进主动,以人为中心的医疗保健的一种方式,并强调了将这些讨论正常化的重要性.
结论:
- 在患有长期疾病的成年人中,如果提前启动预先的护理计划,可能会得到很好的接受.
- 讨论可以在晚期疾病或严重虚弱出现之前开始,促进主动和以人为中心的护理.
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