提前护理规划中赋予老年患者权力:评估MyCareTM作为决策支持工具
Alixe Ménard1, Yamini Singh1,2, Christina Yin1,2
1Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
概括
数字工具MyCare有效地帮助老年人澄清和沟通护理偏好,改善终身决策. 它显示了参与者之间的高可用性和接受性.
科学领域:
- 老年病学和息治疗
- 医疗信息学 医疗信息学
- 以患者为中心的沟通
背景情况:
- 患有严重疾病的老年人面临着将治疗决策与个人价值观相协调的挑战.
- 对决策者和提供者有效地传达护理偏好至关重要,但往往很困难.
研究的目的:
- 评估MyCare的可接受性,可用性和有效性,这是一个数字价值澄清工具.
- 评估MyCare能够帮助老年人识别和沟通护理偏好的能力.
主要方法:
- 融合混合方法研究涉及15名老年人.
- 通过"可接受性理论框架"的调查和采访来评估可接受性.
- 通过系统可用性尺度和反来测量可用性;通过自我报告的偏好表达来评估有效性.
主要成果:
- MyCare展示了高可用性 (SUS平均值为83.2/100) 和强大的可接受性.
- 参与者发现该工具有效地澄清和传达护理偏好,增强主动护理规划.
- 关键主题包括导航自主权,碎片化沟通和围绕生活质量的恐惧.
结论:
- 在老年人中,MyCare是一种高度可接受和可用的价值观澄清和沟通工具.
- 该工具促进了关于生活质量和决策的讨论.
- 为了整合到常规医疗保健中,需要进一步细化,解决预后不确定性.
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