评估高级非恶性慢性病患者的息护理需求:对需求评估工具的综合性审查
Chrysovalantis Karagkounis1, Stephen Connor2, Danai Papadatou3
1Nursing Department, International Hellenic University, Sindos, 57400 Thessaloniki, Greece.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
在晚期慢性疾病中确定息护理需求是具有挑战性的. 这次审查评估了工具,发现SPICT和NECPAL被广泛使用,但需要更多的心理测量验证才能更广泛地实施.
科学领域:
- 息护理研究 息护理研究
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患有晚期非恶性慢性疾病的患者有显著的息护理需求,由于息护理的推迟引入,往往无法满足.
- 评估这些需求是复杂的,现有的工具缺乏关于最适合这一群体的方法的明确指导.
研究的目的:
- 进行综合性审查,以确定和评估系统评估高级非恶性慢性疾病成年人息护理需求的工具.
- 专注于这些需求评估工具的内容,结构和心理特征.
主要方法:
- 根据Joanna Briggs Institute (JBI) 的指导,对系统性审查进行了综合性审查.
- 在四个电子数据库 (Cochrane Library,CINAHL,PubMed,PsycINFO) 进行了搜索,截至2025年6月30日.
- 符合条件的系统评论被选,批判性地评估,并以叙事方式合成.
主要成果:
- 七次系统审查确定了35种独特的需求评估工具.
- 五种工具 (SPICT,GSF-PIG,QUICK GUIDE,NECPAL,P-CaRes) 包括一般和疾病特定的指标;四种工具 (PC-NAT,SPEED,NAT,IPOS) 涵盖了身体,心理,社会和精神领域.
- 六种工具的心理测量数据可用;NAT和SPICT显示出良好的可靠性,但荷兰NAT的有效性较差. 速度证明了良好的可靠性.
结论:
- NAT:PD-HF对心力衰竭患者来说是有前途的,而SPICT和NECPAL被广泛使用,但需要进一步的心理测量评估.
- 需要进行额外的研究来确定这些息治疗评估工具的临床实用性和更广泛的实施.
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