Background: In paternalistic models, healthcare providers’ responsibility is to decide what is best for patients. The main concern is that such models fail to respect patient autonomy and do not promote patient respo...Background: In paternalistic models, healthcare providers’ responsibility is to decide what is best for patients. The main concern is that such models fail to respect patient autonomy and do not promote patient responsibility. Aim: To evaluate mental healthcare team members’ perceptions of their own role in encouraging elderly persons to participate in shared decision-making after implementation of the CCM. The CCM is not an explanatory theory, but an evidence-based guideline and synthesis of best available evidence. Methods: Data were collected from two teams that took part in a focus group interview, and the transcript was analysed by means of qualitative thematic analysis. Results: One overall theme emerged—Preventing the violation of human dignity based on three themes, namely, Changing understanding and attitudes, Increasing depressed elderly persons’ autonomy and Clarifying the mental healthcare team coordinator’s role and responsibility. The results of this study reveal that until recently, paternalism has been the dominant decision-making model within healthcare, without any apparent consideration of the patient perspective. Community mental healthcare can be improved by shared decision-making in which team members initiate a dialogue focusing on patient participation to prevent the violation of human dignity. However, in order to determine how best to empower the patient, team members need expert knowledge and intuition.展开更多
目的探讨群组孕期保健模式结合数字化营养管理对妊娠期糖尿病(GDM)孕妇体重管理及血糖控制的影响。方法选取2020年1月至2022年12月收治的110例GDM孕妇为研究对象,随机将其分为对照组和观察组,各55例。对照组实施常规护理,观察组实施群...目的探讨群组孕期保健模式结合数字化营养管理对妊娠期糖尿病(GDM)孕妇体重管理及血糖控制的影响。方法选取2020年1月至2022年12月收治的110例GDM孕妇为研究对象,随机将其分为对照组和观察组,各55例。对照组实施常规护理,观察组实施群组孕期保健模式结合数字化营养管理。比较两组的干预效果。结果干预后,观察组的身体质量指数(BMI)低于对照组,成年人健康自我管理能力测评量表(AHSMSRS)评分高于对照组(P<0.05)。干预后,观察组的餐后2 h血糖(2 h PG)、甘油三酯(TG)水平及糖化血红蛋白(HbA1c)均低于对照组(P<0.05)。观察组的妊娠和围生儿不良结局总发生率均低于对照组(P<0.05)。结论群组孕期保健模式结合数字化营养管理用于GDM孕妇中,不仅可提高孕妇的自我管理能力及体重管理质量,还可增强血糖控制效果,降低妊娠和围生儿不良结局发生率。展开更多
文摘Background: In paternalistic models, healthcare providers’ responsibility is to decide what is best for patients. The main concern is that such models fail to respect patient autonomy and do not promote patient responsibility. Aim: To evaluate mental healthcare team members’ perceptions of their own role in encouraging elderly persons to participate in shared decision-making after implementation of the CCM. The CCM is not an explanatory theory, but an evidence-based guideline and synthesis of best available evidence. Methods: Data were collected from two teams that took part in a focus group interview, and the transcript was analysed by means of qualitative thematic analysis. Results: One overall theme emerged—Preventing the violation of human dignity based on three themes, namely, Changing understanding and attitudes, Increasing depressed elderly persons’ autonomy and Clarifying the mental healthcare team coordinator’s role and responsibility. The results of this study reveal that until recently, paternalism has been the dominant decision-making model within healthcare, without any apparent consideration of the patient perspective. Community mental healthcare can be improved by shared decision-making in which team members initiate a dialogue focusing on patient participation to prevent the violation of human dignity. However, in order to determine how best to empower the patient, team members need expert knowledge and intuition.
文摘目的探讨群组孕期保健模式结合数字化营养管理对妊娠期糖尿病(GDM)孕妇体重管理及血糖控制的影响。方法选取2020年1月至2022年12月收治的110例GDM孕妇为研究对象,随机将其分为对照组和观察组,各55例。对照组实施常规护理,观察组实施群组孕期保健模式结合数字化营养管理。比较两组的干预效果。结果干预后,观察组的身体质量指数(BMI)低于对照组,成年人健康自我管理能力测评量表(AHSMSRS)评分高于对照组(P<0.05)。干预后,观察组的餐后2 h血糖(2 h PG)、甘油三酯(TG)水平及糖化血红蛋白(HbA1c)均低于对照组(P<0.05)。观察组的妊娠和围生儿不良结局总发生率均低于对照组(P<0.05)。结论群组孕期保健模式结合数字化营养管理用于GDM孕妇中,不仅可提高孕妇的自我管理能力及体重管理质量,还可增强血糖控制效果,降低妊娠和围生儿不良结局发生率。
