质量终身护理:患者的观点
P A Singer1, D K Martin, M Kelner
1Toronto Hospital and the Department of Medicine, Joint Centre for Bioethics, University of Toronto, Ontario, Canada. peter.singer@utoronto.ca
JAMA
|January 23, 1999
概括
患者通过疼痛管理,避免长期死亡,保持控制,减轻负担和加强关系来定义质量终身护理. 这些以患者为中心的领域对于改善终身护理质量至关重要.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 患者为中心的医学
- 质量健康研究 质量健康研究
背景情况:
- 高质量的终身护理是医疗保健提供者的伦理要求.
- 患者对高质量的终身护理的看法尚未得到充分研究.
- 了解患者需求对于道德的医疗保健提供至关重要.
研究的目的:
- 从患者的角度识别和描述质量终身护理的关键要素.
- 为终身护理提供以患者为中心的框架.
- 为有关终身护理的医疗保健实践和政策提供信息.
主要方法:
- 采用深入,开放式采访的定性研究.
- 参与者采访的内容分析.
- 涉及126名参与者,分为三个不同的患者组:透析,艾滋病毒和长期护理居民.
主要成果:
- 从患者的角度来看,质量终身护理的五个核心领域出现了.
- 这些领域包括:适当的疼痛和症状管理.
- 其他关键领域是:避免不适当地延长死亡,实现控制感,减轻负担,加强与亲人的关系.
结论:
- 已识别的领域提供了以患者为中心的视角,以提高终身护理质量.
- 这些发现可以指导制定有针对性的干预和护理策略.
- 专注于这些患者定义的要素对于道德和有效的终身护理至关重要.
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