一种结构化的临终决策方法提高了加纳一家教学医院中晚期疾病患者的护理质量。
A Structured Approach to End-of-Life Decision Making Improves Quality of Care for Patients With Terminal Illness in a Teaching Hospital in Ghana.
作者信息
Edwin Ama Kyerewaa, Johnson McGee Summer, Opare-Lokko Edwina Addo, Gyakobo Mawuli Kotope
机构信息
Palliative Care Service, Korle Bu Teaching Hospital, Accra, Ghana Neiswanger Institute of Bioethics, Stritch School of Medicine, Loyola University Chicago, Chicago, IL, USA
College of Business, University of New Haven, West Haven, CT, USA.
出版信息
Am J Hosp Palliat Care. 2016 Mar;33(2):144-9. doi: 10.1177/1049909114557350. Epub 2014 Nov 2.
PURPOSE
To determine whether a structured approach to end-of-life decision-making directed by a compassionate interdisciplinary team would improve the quality of care for patients with terminal illness in a teaching hospital in Ghana.
FINDINGS
A retrospective analysis was done for 20 patients who consented to participate in the structured approach to end-of-life decision-making. Twenty patients whose care did not follow the structured approach were selected as controls. Outcome measures were nociceptive pain control, completing relationships, and emotional response towards dying. These measures were statistically superior in the study group compared to the control group.
CONCLUSIONS
A structured approach to end-of-life decision-making significantly improves the quality of care for patients with terminal illness in the domains of pain control, completing relationships and emotional responses towards dying.
目的
确定由富有同情心的跨学科团队指导的结构化临终决策方法是否能提高加纳一家教学医院中晚期疾病患者的护理质量。
研究结果
对20名同意参与结构化临终决策方法的患者进行了回顾性分析。选择20名护理未遵循结构化方法的患者作为对照。结果指标为伤害性疼痛控制、完成人际关系以及对死亡的情绪反应。与对照组相比，这些指标在研究组中具有统计学上的优势。
结论
结构化临终决策方法在疼痛控制、完成人际关系以及对死亡的情绪反应等方面显著提高了晚期疾病患者的护理质量。
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