姑息治疗中实施尊严疗法的成本考量：见解与启示
Cost considerations for implementing dignity therapy in palliative care: Insights and implications.
作者信息
Al Yacoub Raed, Rangel Andrea P, Shum-Jimenez Adriana, Greenlee Amelia, Yao Yingwei, Schoppee Tasha M, Fitchett George, Handzo George, Chochinov Harvey Max, Emanuel Linda L, Kittelson Sheri, Wilkie Diana J
机构信息
Department of Medicine, College of Medicine, University of Florida, Gainesville, FLUSA.
Department of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA.
出版信息
Palliat Support Care. 2023 Aug 11:1-5. doi: 10.1017/S1478951523001177.
OBJECTIVES
Despite the clinical use of dignity therapy (DT) to enhance end-of-life experiences and promote an increased sense of meaning and purpose, little is known about the cost in practice settings. The aim is to examine the costs of implementing DT, including transcriptions, editing of legacy document, and dignity-therapists' time for interviews/patient's validation.
METHODS
Analysis of a prior six-site, randomized controlled trial with a stepped-wedge design and chaplains or nurses delivering the DT.
RESULTS
The mean cost per transcript was $84.30 (SD = 24.0), and the mean time required for transcription was 52.3 minutes (SD = 14.7). Chaplain interviews were more expensive and longer than nurse interviews. The mean cost and time required for transcription varied across the study sites. The typical total cost for each DT protocol was $331-$356.
SIGNIFICANCE OF RESULTS
DT implementation costs varied by provider type and study site. The study's findings will be useful for translating DT in clinical practice and future research.
目的
尽管尊严疗法（DT）在临床中用于改善临终体验并增强意义感和目标感，但在实际应用中的成本却鲜为人知。本研究旨在探讨实施尊严疗法的成本，包括转录、遗留文档编辑以及尊严治疗师进行访谈/患者确认的时间成本。
方法
对一项先前的六中心随机对照试验进行分析，该试验采用阶梯楔形设计，由牧师或护士提供尊严疗法。
结果
每份转录的平均成本为84.30美元（标准差=24.0），转录所需的平均时间为52.3分钟（标准差=14.7）。牧师访谈的成本更高，时间也比护士访谈更长。转录的平均成本和所需时间在各研究地点有所不同。每个尊严疗法方案的典型总成本为331-356美元。
结果的意义
尊严疗法的实施成本因提供者类型和研究地点而异。本研究结果将有助于在临床实践中推广尊严疗法并指导未来研究。
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