选择肾脏替代疗法决策过程中的护理支持:范围综述

IF 0.3 Q4 Medicine
Audrie Marcheguet, Valérie Loizeau
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引用次数: 0

摘要

背景:慢性肾脏疾病影响了7%到10%的法国人口。进入疾病的晚期阶段需要在几种选择中做出选择。目的是记录用于支持这些患者选择肾脏替代治疗的护理实践,并确定促进决策的因素。方法:这是一篇基于JBI的Peters等人的方法的范围综述。结果:确定的护理实践侧重于授权,通过干预:参与,提供信息,澄清偏好,支持审议,评估决策过程之前,期间和之后的需求。确定的关键因素是:平等和信任的关系,过程的个性化,情感支持,所有这些都由训练有素的专业人员提供。讨论:有几个概念以一种互补的、令人惊讶的矛盾的方式阐明了决策支持:悲伤、适应、授权和不确定性。结论:本综述显示护理实践以帮助患者控制自己的生活决定为中心。这种经历给病人的生活带来了严重的动荡,因此在管理他们的情绪方面为他们提供支持是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nursing support in the decision-making process regarding the choice of renal replacement therapy: A scoping review

Context: Chronic kidney disease affects 7 to 10 percent of the French population. Entering the end stage of the disease requires a choice to be made between several options. The aim is to document the nursing practices used to support these patients in choosing their renal replacement therapy and to determine the elements that promote decision-making.

Method: This is a scoping review based on the methodology of Peters et al. of JBI.

Results: The nursing practices identified focus on empowerment, by intervening in: involvement, providing information, clarifying preferences, supporting deliberation, and assessing needs before, during, and after the decision-making process. The key factors identified are: an equal and trusting relationship, the personalization of the process, and emotional support, all provided by trained professionals.

Discussion: Several concepts shed light on decision support in a complementary and surprisingly paradoxical way: grief, adaptation, empowerment, and uncertainty.

Conclusion: This review shows nursing practices centered on helping the patient to take control of their life decisions. This experience causes a serious upheaval in patients’ lives, hence the importance of providing them with support in managing their emotions.

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来源期刊
CiteScore
0.30
自引率
33.30%
发文量
25
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