一个可扩展的,交互式工具的随机试验的协议,以支持重症患者的代理决策者
Aleksandra E Olszewski1, Rachel A Butler1, Deepshikha C Ashana2
1Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace St, Pittsburgh, PA 15213, USA.
Contemporary clinical trials
|February 23, 2026
概括
这项研究测试了一种数字工具,并准备了会议,以改善危急病患者的终身护理. 该干预旨在加强以患者为中心,并减少在重症监护室 (ICU) 住院期间代孕母亲的痛苦.
科学领域:
- 医学伦理 医学伦理
- 临界护理医学 临界护理医学
- 卫生沟通健康沟通
背景情况:
- 危急病患者,尤其是临终期患者,往往会得到与他们的目标不一致的护理.
- 代理决策者由于沟通失败和高风险决策而经历了严重的心理痛苦.
- 这些因素包括临床医生与代孕妇的沟通不佳,缺乏预后和价值观讨论,以及未准备好的代孕妇.
研究的目的:
- 评估一项旨在改善对失能,重症成人护理的多元干预措施.
- 评估干预对以患者为中心和代理决策者的结果的影响.
- 提供证据,以加强在重症监护机构的沟通和决策.
主要方法:
- 一个多中心,随机的疗效试验,涉及370名重症患者及其代孕.
- 干预小组获得了一个数字家庭支持工具 (FST),并准备了家庭会议.
- 对照组接受了通常的重症监护室 (ICU) 护理.
主要成果:
- 测量的主要结局是使用修改的患者感知患者中心护理 (PPPC) 尺度来测量护理的患者中心性.
- 其次结果包括代孕的心理负担,沟通质量和医疗保健资源利用.
- 分析的重点是将干预组与常规护理控制组进行比较.
结论:
- 该试验将提供关于FST和增强通信的联合效应的强有力的证据.
- 研究结果将为ICU患者的患者,家庭和卫生系统的结果提供信息.
- 该研究解决了临终关怀沟通和决策支持方面的关键差距.
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