...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of the American Geriatrics Society >Time estimation predicts improvement in cognitive function in elderly community-dwelling adults
【24h】

Time estimation predicts improvement in cognitive function in elderly community-dwelling adults

机译：时间估计预测老年社区住宅成年人认知功能的改进

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: To identify factors important to parents making decisions for their critically ill child. Design: Prospective cross-sectional study. Setting: Single center, tertiary care PICU. Subjects: Parents making critical treatment decisions for their child. Intervention: One-on-one interviews that used the Good Parent Tool-2 open-ended question that asks parents to describe factors important for parenting their ill child and how clinicians could help them achieve their definition of "being a good parent" to their child. Parent responses were analyzed thematically. Parents also ranked themes in order of importance to them using the Good Parent Ranking Exercise. Measurement and Mainresults: Of 53 eligible parents, 43 (81%) participated. We identified nine themes through content analysis of the parent's narrative statements from the Good Parent Tool. Most commonly (60% of quotes) components of being a good parent described by parents included focusing on their child's quality of life, advocating for their child with the medical team, and putting their child's needs above their own. Themes key to parental decision making were similar regardless of parent race and socioeconomic status or child's clinical status. We identified nine clinician strategies identified by parents as helping them fulfill their parenting role, most commonly, parents wanted to be kept informed (32% of quotes). Using the Good Parent Ranking Exercise, fathers ranked making informed medical decisions as most important, whereas mothers ranked focusing on the child's health and putting their child's needs above their own as most important. However, mothers who were not part of a couple ranked making informed medical decisions as most important. Conclusion: These findings suggest a range of themes important for parents to "be a good parent" to their child while making critical decisions. Further studies need to explore whether clinician's knowledge of the parent's most valued factor can improve family-centered care.
机译：目的：识别对父母为其批判性儿童做出决定的因素。设计：前瞻性横截面研究。环境：单中心，三级护理。主题：父母为他们的孩子做出关键治疗决策。干预：一对一的采访，使用了良好的父母工具-2开放式问题，要求父母描述对育儿生病儿童的重要因素以及临床医生如何帮助他们实现他们对他们“成为一个好父母”的定义孩子。父响应被主题方式分析。父母也以使用良好的父级排名练习对他们的重要性排名主题。测量和主要评论：53个符合条件的父母，43（81％）参加。我们通过从父母工具的父叙事语句的内容分析确定了九个主题。最常见的（60％的报价）是父母描述的一个好父母所包括的父母的组成部分包括致力于他们孩子的生活质量，倡导他们的孩子与医疗团队，并将孩子的需求置于他们自己之上。无论家长种族和社会经济地位还是儿童的临床地位，父母决策的主题是相似的。我们确定了父母确定的九名临床策略，因为帮助他们履行其育儿角色，最常见的是，父母希望被通知（32％的报价）。使用良好的父母排名锻炼，父亲排名最为重要的医学决策，而母亲排名着关注孩子的健康，并将孩子的需求作为最重要的是最重要的。然而，没有一对夫妇的母亲排名明智的医学决策是最重要的。结论：这些调查结果表明，一系列重要的主题对于父母来说，“成为一个好父母”，同时提出批判性决定。进一步的研究需要探索临床医生是否了解父母最有价值因素的知识可以改善家庭中心的护理。

著录项

  • 来源
  • 作者

    OtsukaK.; CornelissenG.; YamanakaT.; OinumaS.; SasakiJ.; YamanakaG.; OkumiyaK.; MatsubayashiK.;

  • 作者单位

    Department of Chronomics and Gerontology Tokyo Women's Medical University Tokyo Japan;

    Halberg Chronobiology Center University of Minnesota Minneapolis MN United States;

    Home Medical Care Tokyo Women's Medical University Medical Center East Arakawa-ku Tokyo Japan;

    Home Medical Care Tokyo Women's Medical University Medical Center East Arakawa-ku Tokyo Japan;

    Home Medical Care Tokyo Women's Medical University Medical Center East Arakawa-ku Tokyo Japan;

    Department of Medicine Tokyo Women's Medical University Medical Center East Arakawa-ku Tokyo;

    Department of Field Medicine Research Institute for Humanity and Nature Kamigyo-ku Kyoto Japan;

    Field Medicine Center for Southeast Asian Studies Kyoto University Kyoto Japan;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 老年病学;
  • 关键词

    Communication; Decision making; Family; Palliative care; Parents; Qualitative research;

    机译：沟通;决策;家庭;姑息治疗;父母;定性研究;

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号