提前护理规划和认知障碍:护理合作伙伴报告的沟通质量
Martha Abshire Saylor1, Valecia Hanna2, Vishaldeep Kaur Sekhon1
1Johns Hopkins School of Nursing, Baltimore, Maryland, United States.
Journal of pain and symptom management
|December 31, 2025
概括
认知障碍患者的提前护理计划 (ACP) 需要解决护理伙伴的担忧. 在ACP中,提高沟通质量包括讨论生命终点偏好和护理策略.
科学领域:
- 老年学是指老年学的学科.
- 认知障碍研究 认知障碍研究
- 医疗保健通讯 医疗保健通讯
背景情况:
- 提前护理计划 (ACP) 对认知障碍患者至关重要,但难以实施和评估.
- 护理合作伙伴的参与对于有效的ACP在这个人群中至关重要.
研究的目的:
- 评估预先护理规划期间护理合作伙伴报告的沟通质量的变化.
- 用混合方法比较具有改善与恶化的沟通得分的子组.
主要方法:
- 在ACP试验中使用了一种解释性的顺序混合方法设计.
- 参与者包括80岁以上的认知障碍初级保健患者及其护理伙伴 (n=88).
- 在小组中分析了 ±1 SD 变化的沟通质量得分;对话属性在质量和数量上进行了比较.
主要成果:
- 大多数护理合作伙伴 (72%) 报告说,沟通质量没有变化;很少有人报告说,情况有所改善 (15%) 或恶化 (14%).
- 恶化组的对话时间比改善/没有变化组的对话时间 (30-33分钟) 长 (42分钟).
- 与护理伙伴的担忧 (疾病,孤立,团队不满) 相关的得分恶化;与偏好协议和护理策略相关的得分改善.
结论:
- 通过积极解决护理合作伙伴的担忧,可以改善对认知障碍患者的预先护理计划.
- 专注于护理合作伙伴的需求,并提供支持策略,提高了非洲与非洲的沟通质量.
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