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首页> 外文期刊>Journal of professional nursing: official journal of the American Association of Colleges of Nursing >Patient-centered advance care planning in special patient populations: a pilot study.
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Patient-centered advance care planning in special patient populations: a pilot study.

机译：以特殊患者为中心的以患者为中心的预先护理计划：一项试点研究。

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摘要

The purpose of this study was to assess the feasibility of a patient-centered advance care planning (PC-ACP) approach to patients with chronic illnesses and their surrogates with respect to promotion of shared decision-making outcomes-congruence between patient and surrogate, patient's decisional conflict, and knowledge of advance care planning. An experimental design was used. The settings were the heart failure, renal dialysis, and cardiovascular surgery clinics at Gundersen Lutheran Medical Center in La Crosse, WI. Twenty-seven patient-surrogate pairs participated. A 1-hour PC-ACP interview was provided to the experimental group. Only usual care was delivered to participants in the control group. Comparison of the composite scores of a Statement of Treatment Preferences indicated that congruence in decision-making for future medical treatment in patient-surrogate pairs in the treatment group was significantly higher than in the control group. Greater satisfaction with the decision-making process andless decisional conflict were demonstrated in the treatment group. The PC-ACP interview can be effective in promoting shared decision-making between patients and their surrogates and in producing greater satisfaction with the process of decision-making and less decisional conflict.
机译：这项研究的目的是评估以患者为中心的预先护理计划（PC-ACP）方法对慢性病患者及其替代品在促进共同决策结果方面的可行性-患者与替代者之间的一致性，患者的适应症决策冲突，以及对预先护理计划的了解。使用实验设计。设置地点为威斯康星州拉克罗斯市Gundersen路德教会医学中心的心力衰竭，肾脏透析和心血管外科诊所。二十七对患者代理人参加。实验组接受了1小时的PC-ACP采访。仅常规护理被提供给对照组的参与者。比较《治疗偏好表》的综合评分表明，治疗组中患者替代对对未来药物治疗决策的一致性显着高于对照组。治疗组显示出对决策过程的更高满意度和更少的决策冲突。 PC-ACP访谈可以有效地促进患者及其代理人之间的共同决策，并使决策过程获得更大的满意度，并减少决策冲突。

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