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关于终末期肾病治疗的决策:理论与问题综述

Making decisions about end-stage renal disease treatment: a review of theories and issues.

作者信息

Pfettscher S A

机构信息

School of Nursing, Indiana State University, Terre Haute, IN 47809, USA.

出版信息

Adv Ren Replace Ther. 1997 Jan;4(1):81-8. doi: 10.1016/s1073-4449(97)70019-0.

DOI:10.1016/s1073-4449(97)70019-0
PMID:8996623
Abstract

Multiple theories and models of decision-making have been reported in the popular and scientific literature. Decisions and choices about health care are some of the most dramatic and difficult that humans make. The interactive role of patient and health care professional in circumstances of urgency, stress, and possible unpredictability is complex. This article reviews some of the theories of decision-making and their implementation or usefulness in the end-stage renal disease setting. In caring for patients, health professionals need to identify their approach to the decision-making process with special concern for the patient role in this process.

摘要

在大众和科学文献中,已经报道了多种决策理论和模型。关于医疗保健的决策和选择是人类做出的一些最重大且艰难的决策。在紧急、压力以及可能无法预测的情况下,患者与医疗保健专业人员的互动作用十分复杂。本文回顾了一些决策理论及其在终末期肾病环境中的应用或效用。在护理患者时,医疗专业人员需要确定他们在决策过程中的方法,并特别关注患者在这一过程中的角色。

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