Life-sustaining treatment decisions in the ICU for patients with ESLD: a prospective investigation.
Life-sustaining treatment decisions in the ICU for patients with ESLD: a prospective investigation.
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ICU 中 ESLD 患者的生命维持治疗决策：一项前瞻性调查。
DOI：
10.1002/nur.21488
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发表时间：
2012
影响因子：
2
通讯作者：
Chesnutt,MarkS
中科院分区：
文献类型：
--
作者：
Hansen,Lissi;Press,Nancy;Rosenkranz,SusanJ;Baggs,JudithGedney;Kendall,Judith;Kerber,Amanda;Williamson,Angel;Chesnutt,MarkS
我们从患者、家庭成员和医疗保健专业人员的角度对终末期肝病（ESLD）患者的维持生命治疗和舒适护理决策进行了一项前瞻性研究。6名ESLD患者，19名家庭成员，122名专业人员参与。描述决策过程的首要主题是“在火车上”。四个子主题将患者和家属定位为控制有限的乘客，无法完全理解决策过程。研究结果表明，让患者和家属参与非即时的救命决策，并尽早核实他们的理解，可能有助于改善决策过程。©2012 Wiley期刊公司护理与健康杂志，2012:518 - 532
We conducted a prospective study in the ICU of life‐sustaining treatment and comfort care decisions over time in patients with end‐stage liver disease (ESLD) from the perspectives of patients, family members, and healthcare professionals. Six patients with ESLD, 19 family members, and 122 professionals participated. The overarching theme describing the decision‐making process was “on the train.” Four sub‐themes positioned patients and family members as passengers with limited control, unable to fully understand the decision‐making process. Findings suggest that including patients and family members in non‐immediate life‐saving decisions and verifying early on their understanding may help to improve the decision‐making process. © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:518–532, 2012