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在创伤的老年人中,心肺复苏和代码状态讨论的知识:健康素养是否重要?
Mokunfayo O Fajemisin1,2,3, Ashna S Karpe1, Stephanie Martinez Ugarte1,2,3
1Department of Surgery, McGovern Medical School at The University of Texas Health Science Center (UTHealth Houston), Houston, TX, USA.
概括
在创伤中受伤的老年人往往缺乏对心肺复苏 (CPR) 和代码状态讨论的理解. 低健康素养进一步限制了他们的预先护理计划知识.
科学领域:
- 老年创伤的治疗方法
- 医疗教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 代码状态讨论 (CSD) 和心肺复苏 (CPR) 的理解在经历创伤伤害的老年人中没有得到充分的研究.
- 有限的健康素养可能会阻碍这种脆弱人群的有效预先护理规划和决策.
研究的目的:
- 调查受创伤的老年人和他们的家人对心肺复苏和代码状态的理解.
- 在这个人口群体中确定健康素养水平与事先护理规划知识之间的关联.
主要方法:
- 对65岁及以上的受伤成年人或他们的合法代孕者进行了一项调查.
- 收集的数据包括基线代码状态,健康素养评估和之前的CPR讨论.
- 进行了单变量和多变量分析,以确定有意义的关联.
主要成果:
- 在201名受访者中,55%的受访者表现出低水平的健康素养.
- 只有38%的人报告进行心肺复苏讨论,21%的人在入院时被明确询问了代码状态.
- 较低的健康素养与减少寻求CPR信息的参与以及对CPR有效性的信心降低相关.
结论:
- 受过创伤的老年人和他们的代孕者在了解心肺复苏和代码状态方面表现出显著的缺陷.
- 低健康素养是与缺乏知识和参与预先计划护理相关的关键因素.
- 改善健康素养和CSD的干预措施对于老年创伤患者至关重要.
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