护理学报 ›› 2019, Vol. 26 ›› Issue (13): 38-43.doi: 10.16460/j.issn1008-9969.2019.13.038
痴呆患者参与决策及决策辅助的研究进展
王雅星1, 徐蕊芳2, 关志1, 田军香1, 张克森3
- 1.天津中医药大学 研究生院,天津 301617;
2.天津医科大学总医院 手术室,天津 300000;
3.天津市护理学会,天津 300040
摘要： 目的 通过总结和分析痴呆患者参与决策的影响因素、形式及决策辅助,以期为医务人员开展针对痴呆患者和家庭照顾者的干预提供参考。方法 通过全面检索文献,总结归纳痴呆患者参与决策的影响因素、形式及决策辅助的研究进展。结果 影响痴呆患者参与决策的因素包括人口学特征、认知损害、决策能力及社会支持。痴呆患者参与决策的形式主要有预先照护计划、共享决策及替代决策。决策辅助可以减少决策冲突,是痴呆患者及家属参与决策的有利工具。结论 医务人员应灵活运用各种决策形式及决策辅助,开展沟通技能培训等项目,促进患者参与决策,减少决策冲突,提高决策质量。
中图分类号:
- R473.74
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