Hilgeman Michelle M, Uphold Constance R, Collins Amber N, Davis Lori L, Olsen Douglas P, Burgio Kathryn L, Gordon Classie A, Coleman Tranace N, DeCoster Jamie, Gay Whitney, Allen Rebecca S
J Gerontol Nurs. 2018 Jul 1;44(7):31-42. doi: 10.3928/00989134-20180614-06.
Adults who complete an advance directive (AD) are not consistently offered information about the risks, benefits, or alternatives (RBA) of the life-sustaining medical procedures addressed on standardized forms. The current article describes a new patient-centered nurse-supported advance care planning (NSACP) intervention focused on providing information about RBA of life-sustaining procedures. Fifty participants (mean age = 50.26 years) at a Veterans Affairs medical center were randomized to the NSACP intervention or a comparison condition. Before randomization, 78% (n = 39) expressed interest in RBA information. Of participants in the NSACP group, 94% (n = 30) completed an AD. Participants who received NSACP made more decisions to decline life-sustaining treatment than those who were randomized to the comparison group. Promising feasibility data include brevity (mean = 46 minutes), high patient satisfaction, participant retention, and treatment fidelity. The NSACP holds promise as a brief, educational intervention to support patients in completing an AD. [Journal of Gerontological Nursing, 44(7), 31-42.].
完成预先医疗指示（AD）的成年人并未始终获得关于标准化表格中所涉及的维持生命医疗程序的风险、益处或替代方案（RBA）的信息。本文介绍了一种新的以患者为中心的护士支持的预先护理计划（NSACP）干预措施，该措施侧重于提供维持生命程序的RBA信息。一家退伍军人事务医疗中心的50名参与者（平均年龄 = 50.26岁）被随机分配到NSACP干预组或对照组。在随机分组之前，78%（n = 39）的人表示对RBA信息感兴趣。在NSACP组的参与者中，94%（n = 30）完成了一份AD。接受NSACP的参与者比随机分配到对照组的参与者做出了更多拒绝维持生命治疗的决定。有前景的可行性数据包括干预时间短（平均 = 46分钟）、患者满意度高、参与者留存率高以及治疗保真度高。NSACP有望作为一种简短的教育干预措施，支持患者完成AD。[《老年护理杂志》，44(7)，31 - 42。]
