作者
高鑫鑫
文章摘要
目的:研究医护人员预立医疗照护计划(Advance Care Planning,ACP)准备度情况,为制定出《医护人员预立医疗照护计划准备度》问卷提供依据。方法:通过查找文献和分析文献、建立访谈提纲,通过对医护人员半结构式访谈,提炼出主题。结果:从文献资料及对11名医护人员质性访谈中得出4个结果及主题。结论:我国医护人员预立医疗照护计划的准备度尚处于起步和探索阶段,能应提高医护人员的知晓率,未来参与并推进ACP决策。
文章关键词
医护人员;预立医疗照护计划;准备度;质性研究
参考文献
[1] SUDORE R L, LUM H D, YOU J J, et al. Defining advance care planning for adults: a consensus definition from a multidisciplinary Delphi panel[J].J Pain Symptom Manage,2017,53(5):821-832.
[2] DETERING K M, HANCOCK A D, READE M C, et al. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial[J].BMJ,2010,340:c1345.
[3] WANG S, CHANG C, FAN S, et al. Development of an advance care planning booklet in Taiwan[J].Tzu Chi Medical Journal,2015, 27(4):170-174.
[4] 赵宇飞,赵素琴. 血液透析患者对预立医疗照护计划的接受程 度及其影响因素[J]. 解放军护理杂志,2019,36(8):19-22.
[5] 李芹,李星梅. 肿瘤患者预立医疗照护计划的影响因素研究[J]. 河北医学,2016,22(5):843-845.
[6] KERR C, NIXON A, WILD D. Assessing and demonstrating data saturation in qualitative inquiry supporting patient-reported outcomes research. Expert Rev Pharmacoecon Outcomes Res, 2010,10(3): 269-281.
[7] Armenakis A A.Creating Readiness for Organizational Change[J].Human Relations,1 993,46(6)681.703
[8] CHENG H W B. Advance care planning in Chinese seniors[J]. Journal of Palliative Care,2018,33(4):242-246.
[9] 丁映轩,王壮,龙艺 .尊重生命——从一份"生前预嘱"开始[J]. 中国医学伦理学,2018(10):1305-1308. DING Y X,WANG Z,LONG Y.Respect for life:starting with a "living will"[J]. Chinese Medical Ethics,2018,31(10):1305-1308.
[10] 邓仁丽,陈柳柳,史宝欣,等.中国文化背景下预立医疗照护计划的研究进展[J].中华护理杂志,2015,50(9):1117-1121. DENG R L,CHEN L L,SHI B X,et al.Advance care planning under the background of Chinese culture[J]. Chinese Journal of Nursing,2015,50(9):1117-1121.
[11] 张玲,翁任莹.一份生前预嘱公证要怎么做? 深圳律师用亲身经历告诉你[N/ OL].(2022-07-08) [2022-08-19].https: / / www. sznews. com/ news/ content /2022-07 / 08/content25238718.htm.
[12] 王丽英,胡雁,陆箴琦,等.肿瘤科医护人员对晚期 肿瘤患者实施预先指示的质性研究[J].医学与哲学:临床决策论坛版,2011,32(11):1-4,22.
[13] Ottoboni G, Chattat R, Camedda C, et al. Nursing home staff members' knowledge, experience and attitudes regarding advance care planning: a cross-sectional study involving 12 Italian nursing homes.[J]. Aging Clinical and Experimental Research, 2019, 31(11): 1675-1683.
[14] 李宇芳,邹剑莹,骆坚,等.医护患对实施预立医疗照护计划的态度及影响因素调 查 [J].护理学报 ,2014,21(16):21-24.
[15] 张丹丹,李虹,赵璠,等.社区医护人员预立医疗照护计划知信行的调查 [J].护理学杂志 ,2019,34(1):77-79,102.
[16] Aline DV,Dirk H,Luc D,et al. RF3-C Development of a complex intervention to support the initiation of advance care planning by general practitioners in patients at risk of deteriorating or dying: A phase 0-1 study[J]. Journal of Pain and Symptom Management, 2016, 52(6):17-26.
[17] Ng R,Chan S,Ng TW,et al. An exploratory study of the knowledge, attitudes and perceptions of advance care planning in family caregivers of patients with advanced illness in Singapore[J]. BMJ supportive &, palliative care,2013, 3(3):343-348.
[18] 谈学灵,赵宝玉,曹晓容,等.医护人员对预先指示的认知及影响因素研究[J].医学与哲学:B,2017,38(12):88-92.
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