通过在护理中纳入患者偏好来改善患者预后。
Improving patient outcomes by including patient preferences in nursing care.
作者信息
Ruland C M
机构信息
Institute of Nursing Science, University of Oslo, Norway.
出版信息
Proc AMIA Symp. 1998:448-52.
While preference elicitation techniques have been effective in supporting patients in their abilities to make decisions consistent with their preferences, little is known about whether information about patient preferences affects clinicians in clinical decision making and improves patient outcomes. This paper presents a study that tested the effect of eliciting elderly patients' preferences for self-care capability and providing this information to nurses in clinical practice on nurses' care priorities and patient outcomes. The study showed that information about patient preferences changed nurses' care priorities to be more consistent with patient preferences and improved patient outcomes of preference achievement and physical functioning. These results emphasize the importance of continuing to refine strategies for eliciting and integrating patient preferences into patient care as a means to improve patient outcomes.
虽然偏好诱导技术在支持患者做出符合其偏好的决策方面很有效，但对于患者偏好信息是否会影响临床医生的临床决策并改善患者预后，我们知之甚少。本文介绍了一项研究，该研究测试了在临床实践中诱导老年患者对自我护理能力的偏好并将此信息提供给护士，对护士的护理重点和患者预后的影响。研究表明，患者偏好信息改变了护士的护理重点，使其更符合患者偏好，并改善了患者在偏好达成和身体功能方面的预后。这些结果强调了继续完善诱导患者偏好并将其整合到患者护理中的策略的重要性，以此作为改善患者预后的一种手段。
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