识别终末期癌症老年患者居家医疗护理的护理结局和质量指标。
Identification of Nursing Outcomes and Quality Indicators for Home Health Care in Older Adults with End-Stage Cancer.
机构信息
Faculty of Nursing Sciences and Allied Health, Phetchaburi Rajabhat University, Thailand.
Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
出版信息
Asian Pac J Cancer Prev. 2024 Apr 1;25(4):1189-1193. doi: 10.31557/APJCP.2024.25.4.1189.
OBJECTIVE
This study aimed to identify nursing outcomes and quality indicators for older adults with end-stage cancer receiving home health care.
METHODS
Nineteen experts and professional caregivers, including palliative doctors, nursing faculty, advanced practice nurses, and registered nurses, participated in the Delphi technique. Final medians and interquartile ranges were calculated.
RESULT
Seven components with 43 nursing outcomes and quality indicators for older adults with end-stage cancer were developed, encompassing physical pain relief, symptom management, physical well-being, complication prevention, psychosocial support, caregiver and family roles in end-of-life care, and advance care planning.
CONCLUSION
The caregiver and family's role in end-of-life care had the most indicators, reflecting the significance of family involvement in Thailand's cultural context. Consistent implementation of these indicators is crucial, and correlational analysis of indicator scores can enhance their validity.
目的
本研究旨在确定接受家庭保健的终末期癌症老年患者的护理结局和质量指标。
方法
19 名专家和专业护理人员，包括姑息治疗医生、护理学院教师、高级执业护士和注册护士，参与了德尔菲技术。计算了最终中位数和四分位距。
结果
为终末期癌症老年患者制定了 7 个组成部分，共 43 个护理结局和质量指标，涵盖了身体疼痛缓解、症状管理、身体福祉、并发症预防、心理社会支持、临终关怀中的照顾者和家庭角色以及预先护理计划。
结论
照顾者和家庭在临终关怀中的角色有最多的指标，反映了家庭在泰国文化背景下的参与的重要性。这些指标的一致实施至关重要，并且可以通过对指标得分进行相关分析来提高其有效性。
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