Using video images of dementia in advance care planning
Using video images of dementia in advance care planning
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DOI：
10.1001/archinte.167.8.828
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发表时间：
2007-04-23
影响因子：
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通讯作者：
Gillick, Muriel R.
中科院分区：
文献类型：
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作者：
Volandes, Angelo E.;Lehmann, Lisa Soleymani;Gillick, Muriel R.
背景：提前护理计划是患者在决策受损的情况下对未来医疗服务进行计划的过程。这一过程的核心是患者对未来健康状况的理解和想象能力。方法：在美国两个医疗中心的7家初级保健诊所，通过前后的口腔调查，比较视频描述和口头描述晚期痴呆症患者的效果。这项研究招募了120名成年人，其中一半是非白人。结果：共有120名受试者完成了采访。观看视频前，60人(50.0%)倾向于舒适性护理，25人(20.8%)希望延长生命，22人(18.3%)选择有限护理，13人(10.8%)不确定自己的偏好。观看视频后，被调查者的偏好发生了显著变化：107人(89.2%)选择了舒适性护理，无一人希望得到延长生命的护理，10人(8.3%)选择了有限护理，3人(2.5%)不确定自己的喜好(P
Background: Advance care planning is a process by which patients plan for future medical care under circumstances of impaired decision-making. Central to this process is the patient's understanding and ability to imagine future health states.Methods: A before and after oral survey was used to compare the effect of a video depiction with that of a verbal description of a patient with advanced dementia for individuals selecting level of medical care at 7 primary care clinics at 2 US medical centers. The study enrolled 120 adults, half of whom were nonwhite.Results: A total of 120 subjects completed the interview. Before watching the video, 60 (50.0%) subjects preferred comfort care, 25 (20.8%) desired life-prolonging care, 22 (18.3%) chose limited care, and 13 (10.8%) were unsure of their preferences. Subject preferences changed significantly after the video: 107 (89.2%) of the subjects chose comfort care, none desired life-prolonging care, 10 (8.3%) chose limited care, and 3 (2.5%) were unsure of their preferences (P