意大利息护理专家的态度和信仰:德尔菲的一项研究
Matteo Moroni1, Eduardo Bruera2, Luca Ghirotto3
1SSD Cure Palliative, AUSL Romagna, Italy.
息护理 (PC) 专家在晚期疾病中对缓解症的管理达成共识,强调多专业合作和整体评估. 这有助于为有复杂需求的患者提供更好的护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 老年病的医生 老年病的医生
背景情况:
- 卡赫西亚是一种常见的,复杂的综合征在晚期疾病.
- 目前的指导方针缺乏整合息治疗的多维视角.
- 优化缓解症管理需要就息治疗原则达成共识.
研究的目的:
- 在息护理医生和护士之间建立国家共识,以管理缓解症.
- 定义缓解性环境中缓解症护理的核心原则和优先事项.
主要方法:
- 一项为期两轮的德尔菲研究,涉及43名意大利息护理专家 (医生和护士).
- 第1轮:使用定性框架方法分析开放式问题 (生成了28个陈述).
- 第2轮:声明以5点的利克特级别评分;共识定义为≥90%的同意.
主要成果:
- 在28个陈述中,14个陈述达到了高度共识 (≥90%).
- 一致同意多专业管理,症状集群评估和重新定义食品的含义.
- 关于二度性护理计划,口腔护理和身体形象评估的强烈共识.
结论:
- 缓解性症管理的核心缓解性护理导向原则包括专业间的合作,双层参与和整体评估.
- 结果为未来的临床指南,培训和政策制定提供了基础.
- 这种共识旨在改善在晚期疾病中患有缓冲症的患者的护理.
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