在息治疗中对多维需求评估的修订临床指南的开发:MAP
Blanca Goni-Fuste1, Iris Crespo2, Aina García-Salanova1
1Department of Nursing, School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.
Journal of pain and symptom management
|December 26, 2025
概括
息治疗中的多维需求评估 (MAP) 指南由专家改进,以改善患者护理计划. 修订后的MAP指南现在包括全面的息护理评估的预先指示和终身愿望.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 临床评估工具 临床评估工具
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 有效的需求评估对于个性化的息护理计划至关重要.
- 此前已经开发了"息治疗中的多维需求评估 (MAP) "初次接触指南.
- 临床实施的挑战促使需要改进指南.
研究的目的:
- 通过专家协商一致来完善现有的MAP临床面试指南.
- 提高MAP指南在各种临床环境中的适用性.
- 纳入专家建议,以改善息护理需求评估.
主要方法:
- 一项为期两轮的德尔菲研究,涉及22名息护理医生.
- 达成共识的门是德尔菲参与者达成80%的共识.
- 名义小组技术与10名息护理专家共同完成修订.
主要成果:
- 修订后的MAP指南包括48个需求,包括预先指示和希望加快死亡.
- 灵性/存在性关注领域扩展到包括生命终结指令.
- 不太频繁的身体症状和补充疗法被保留;强调优先考虑患者关切.
结论:
- 更新的MAP指南增强了对息护理初次接触的全面需求评估.
- 纳入预先指示和终生愿望加强了该工具的实用性.
- 修订后的MAP指南支持个性化护理规划,并需要进一步的临床验证.
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