Mulqueen Kiri, Coffey Alice
University Hospital Limerick, Ireland.
School of Nursing & Midwifery, University College Cork, Ireland.
Nurs Older People. 2017 Feb 28;29(2):26-30. doi: 10.7748/nop.2017.e862.
Aim To explore the preferences of residents with dementia for their end of life care, and nurses' perceptions of these preferences. Method Residents' preferences were compared with nurses' perceptions of their preferences in a qualitatively designed study in which the nominal group technique was adopted for data collection. Findings Some of the residents' preferences for their end of life care matched nurses' perceptions of their preferences, but differences were identified. Residents emphasised comfort, family presence, familiar staff and surroundings; nurses thought that residents would want good communication, pain management, advance care planning, being cared for by knowledgeable staff and the inclusion of their families. Conclusion End of life care needs are individual and a generic approach is not a sufficient standard of care for people with dementia. Patients should be included in studies about their needs and preferences for future care to provide a holistic approach to end of life care, and to develop evidence-based standards.
目的 探讨痴呆症患者对临终关怀的偏好,以及护士对这些偏好的看法。方法 在一项定性研究中,采用名义小组技术收集数据,比较患者的偏好与护士对其偏好的看法。结果 一些患者对临终关怀的偏好与护士对其偏好的看法相符,但也发现了差异。患者强调舒适、家人陪伴、熟悉的工作人员和环境;护士则认为患者会希望有良好的沟通、疼痛管理、预先护理计划、由知识渊博的工作人员照顾以及家人参与。结论 临终关怀需求是因人而异的,通用方法不足以作为痴呆症患者的护理标准。应让患者参与有关其未来护理需求和偏好的研究,以提供全面的临终关怀方法,并制定基于证据的标准。