Ruland C M, Kresevic D, Brennan P F, Lorensen M
FPB School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA.
Stud Health Technol Inform. 1997;46:296-9.
This paper describes a pilot study that tested the strategy and feasibility of a decision support system (DSS) that assists nurses in integrating patients' preferences for self-care functions in the assessment of elderly patients. 12 elderly clients and a clinical nurse specialist (CNS) participated in this study. The CNS reported the assessment strategy to be very helpful to learn about patients' strengths and weaknesses in self-care functioning. Clients reported that being asked about their preferences helped them clarify their goals, and created a shared understanding between nurse and patient. This pilot study also suggests that patients have a clear understanding of their predominant problems and can discriminate between their preferences. It further supports previous literature that there is a substantial difference in values patients place on clinical outcomes. This highlights the importance of an individual approach to patient care and the usefulness of DSS to assist nurses in eliciting patient preferences.
本文描述了一项试点研究，该研究测试了一种决策支持系统（DSS）的策略和可行性，该系统可协助护士在评估老年患者时整合患者对自我护理功能的偏好。12名老年患者和一名临床护理专家（CNS）参与了本研究。该临床护理专家报告称，评估策略对于了解患者在自我护理功能方面的优缺点非常有帮助。患者报告称，被询问偏好有助于他们明确目标，并在护士和患者之间达成共同理解。这项试点研究还表明，患者对自己的主要问题有清晰的认识，并且能够区分自己的偏好。它进一步支持了先前的文献，即患者对临床结果所赋予的价值存在很大差异。这突出了个性化患者护理方法的重要性以及决策支持系统在协助护士引出患者偏好方面的有用性。
