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对于患有慢性病的成年人进行预先护理规划干预:系统性审查
Juthamas Tiansaard1,2, Melissa J Bloomer1,3, Louise Purtell4
1School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
Journal of renal care
|January 26, 2026
概括
通过教育和同行支持支持的提前护理计划 (ACP) 讨论,可以提高慢性病成年人的完成率. 培训专业人员启动这些对话对于更好的患者护理至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 提前护理计划 (ACP) 允许成年人沟通未来护理偏好.
- 在瘤学和息护理方面已经建立了ACP,但在脏疾病中不一致地使用.
- 慢性脏疾病 (CKD) 患者,包括接受脏替代疗法的患者,需要量身定制的ACP策略.
研究的目的:
- 系统地审查在患有CKD的成年人中促进ACP的干预措施.
- 确定有效的战略,以增加非洲和非洲国家和地区的吸收率,并改善这一群体的结果.
主要方法:
- 对六个数据库 (PubMed,MEDLINE,CINAHL,PsycINFO,Scopus,Embase) 进行了全面的系统审查.
- 包括到2024年9月发表的研究,两名独立审查员进行数据提取和质量评估.
- 审查协议已被注册 (PROSPERO:CRD42024589958) 进行审查.
主要成果:
- 包括27项研究 (22项定量,3项定性,2项混合方法),主要来自美国.
- 确定的关键战略包括教育脏保健专业人员,促进ACP对话,提供教育资源,利用同行辅导员和整合息护理.
- 定性数据表明,ACP讨论培养了希望,但没有增加焦虑.
结论:
- 与教育资源和同行支持相结合的ACP对话表明,有望提高ACP慢性结症患者的完成率.
- 需要进一步的研究来巩固这些发现.
- 建议培训脏保健专业人员,以便与所有患者进行ACP讨论.
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