کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2650297 1139367 2016 7 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
A randomized controlled pilot trial to improve advance care planning for LVAD patients and their surrogates
ترجمه فارسی عنوان
در یک کارآزمایی آزمایشی کنترل شده تصادفی برای بهبود مراقبت از پیش برنامه ریزی برای بیماران LVAD و کارگزاران آنها
کلمات کلیدی
LVADs؛ جایگزین‌ها؛ اعضای خانواده؛ پیشبرد مداخله برنامه ریزی مراقبت. مراقبت پایان عمر
LVADs; Surrogates; Family members; Advance care planning intervention; End-of-life care
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

ObjectivesTo examine feasibility, acceptability and preliminary effects of an advance care planning (ACP) intervention, SPIRIT-HF, in LVAD patients and their surrogates.BackgroundLVADs may improve HF symptoms but they are not curative. Thus, ACP is needed to prepare patients and surrogates for end-of-life (EOL) decision-making.MethodsBridge to transplant and destination therapy LVAD patient-surrogate dyads were randomized to either SPIRIT-HF or usual care. Percentages of eligible dyads who were enrolled and completed the study determined feasibility. Analysis of interviews with SPIRIT dyads determined acceptability. Group comparisons of dyad congruence, patient's decisional conflict, and surrogate's decision-making confidence determined preliminary effects.ResultsOf 38 eligible dyads, 29 (76%) were enrolled, randomized, and completed the study. The 14 intervention dyads characterized SPIRIT-HF as beneficial. All dyads demonstrated improvement in outcomes. However, SPIRIT-HF dyads tended toward greater congruence on patient EOL treatment goals.ConclusionsSPIRIT-HF is feasible and acceptable. Results will inform future trials.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 45, Issue 3, May–June 2016, Pages 186–192
نویسندگان
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