实施一个新的图形工具,旨在促进关于预先护理计划的沟通:混合方法可行性研究
Mireia Baylina Melé1,2,3, Cristina Araguás Flores4, María Rosa Soria Gómez5
1Hospital d'Atenció Intermedia Prytanis Sant Boi, C/ Torres I Bages 55, 08830, Sant Boi de Llobregat, Barcelona, Spain. mbaylina@gmail.com.
European geriatric medicine
|February 10, 2026
概括
DPAC工具有效地组织了与脆弱的老年人进行预先护理计划 (ACP) 对话,在混合方法研究中被证明是非常可接受和有用的. 这种图形方法增强了未来护理偏好的沟通和决策.
科学领域:
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
- 卫生沟通健康沟通
背景情况:
- 提前护理规划 (ACP) 对于尊重患者自主权至关重要.
- 脆弱的老年人经常在表达未来的护理偏好方面面临挑战.
- 现有的非洲国家和地区工具可能无法充分吸引这一群体.
研究的目的:
- 评估新的图形工具DPAC的可行性,用于结构化预先护理计划 (ACP) 讨论.
- 评估DPAC的可接受性,有用性,适用性和临床实用性.
- 探索使用DPAC为ACP的脆弱老年人的经验.
主要方法:
- 混合方法研究涉及巴塞罗那100名脆弱的老年人.
- 使用可接受性,有用性,适用性和临床实用性指标对DPAC可行性的定量评估.
- 对20名患者的采访进行了定性主题分析,以探索他们与DPAC的经验.
主要成果:
- 在临床实践中,DPAC证明了ACP的高可行性.
- 100%的患者认为DPAC是可以接受和有用的; 86%的访谈是在时间限制内进行的.
- 医生在98%的采访中将DPAC评为有用;定性主题包括感觉被听取和促进决策.
结论:
- DPAC是一个有前途的图像工具,可以促进有意义的预先护理计划对话.
- 该工具有效地组织了与脆弱的老年人关于未来护理偏好的讨论.
- 在ACP的背景下,DPAC增强了患者的参与和沟通.
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