护理学报 ›› 2023, Vol. 30 ›› Issue (7): 38-43.doi: 10.16460/j.issn1008-9969.2023.07.038
终末期慢性肾脏病患者治疗决策需求的研究进展
李姗姗1,2, 黄红艳1, 李媛媛1, 黎江静1
- 1.华中科技大学同济医学院附属梨园医院,湖北 武汉430077;
2.华中科技大学同济医学院 护理学院,湖北 武汉 430030
摘要： 目的 了解终末期慢性肾脏病患者治疗决策需求的研究进展,为进一步制定高质量决策支持干预方案提供参考。方法 回顾国内外相关文献,对共享决策需求评估工具、终末期慢性肾脏病患者治疗决策需求内容及决策支持形式等方面进行概述。结果 终末期慢性肾脏病患者治疗决策需求内容包括决策信息需求、决策环境需求、决策沟通需求、决策社会支持需求,决策支持形式主要有决策辅助手册和视频、问题提示列表、基于网络的决策支持。结论 终末期慢性肾脏病患者治疗决策需求个体差异较大,以医护人员为视角的治疗决策需求有待进一步评估,标准化的决策需求量性评估工具有待进一步研制,同时适合不同治疗决策情景的决策支持方案和决策系统有待进一步完善和构建,以促进共享决策的实践和发展。
中图分类号:
- R473.5
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