透析患者的提前护理规划与对话游戏
Anne Dufey Teso1, Gora Da Rocha Rodrigues2, Catherine Bollondi Pauly3
1Division of Nephrology and Hypertension, Department of Medicine, Geneva University Hospitals, Geneva, Switzerland.
Kidney international reports
|January 8, 2026
概括
预先护理计划 (ACP) 得到了预先行动游戏和三步干预的支持. 该研究发现,这种干预是可以接受和可行的,显著改善了预先指示和患者参与终身护理讨论的情况.
科学领域:
- 医学人文学科 医学人文学科
- 医疗保健服务研究 医疗服务研究
- 患者护理 患者护理
背景情况:
- 预先护理计划 (ACP) 对于以患者为中心的终身护理至关重要.
- 开发可访问的工具以促进非洲和非洲国家和地区的讨论是必不可少的,特别是对于弱势患者群体.
研究的目的:
- 通过使用对话游戏"Anticip'action"来评估一种新的三步ACP干预措施的可接受性,可行性和有效性.
- 评估干预对预先指令完成,代孕指定的影响,以及透析患者的患者参与.
主要方法:
- 经过培训的透析护士使用"Anticip'action"游戏实施了三步ACP干预.
- 关于可接受性和可行性的数据是通过问卷和笔记收集的.
- 通过预先指令的前后变化,替代品的指定,ACP参与和文档质量来衡量有效性.
主要成果:
- 该干预措施在护士和患者中表现出高的接受度和可行性.
- 在预先指示 (30%),指定代孕 (80%) 和患者参与 (P ≤ 0.001) 中观察到显著增加.
- 非洲和非洲国家 (ACP) 文件的质量也得到了显著改善 (P ≤ 0.001).
结论:
- 使用"预先行动"的三步ACP干预是提高临床环境中预先护理规划的可行和有效工具.
- 该干预措施显示了在例行透析护理中实施的良好潜力,改善了患者参与终身决策的可能性.
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