突発 心臓 発作 の 生存 率: アメリカ 心臓 協会 の 科学 的 な 声明
Circulation
|February 21, 2020
まとめ
心臓発作の生存率は 調整された治療により改善されています しかし 長期的回復には 患者と介護者とのパートナーシップを 優先すべきです
科学分野:
- 緊急医療
- 心臓病科
- 回復医療
背景:
- 調整されたケアシステムは,急性心停止 (SCA) の患者の生存率を改善します.
- 医療が安定させた後も 身体的,認知的,感情的な困難が 長く続くことが多いのです
- 現状の勧告では 安定化後のケアや 生存者とその介護者とのパートナーシップが 適切には扱われていません
研究 の 目的:
- 心臓発作の治療システムの概念を拡大し,生存者の全過程をカバーする.
- 心臓発作の生存者とその介護者を支援するリハビリテーション医療の重要な役割を強調する.
主な方法:
- 心停止のケアシステムに関する既存の文献のレビューと要約
- 蘇生後のケアに関する現在の欠陥の分析
- 生き残りを既存のシステムに統合するための枠組み開発
主要な成果:
- 急性心臓発作の生存率の増加が記録されている.
- 生存者の長期の身体的,認知的,感情的な支援に 重要な満たされていないニーズが存在します
- 現存する医療制度は しばしば医療安定化で終わり,重要なリハビリテーション段階を無視します.
結論:
- 心臓発作のケアシステムは 総合的な生存計画を含むように 進化しなければなりません
- 患者,介護者,リハビリテーション医療提供者とのパートナーシップは,最適な回復のために不可欠です.
- 心臓発作の生存者を 介護の枠組みに組み込むことは 心臓発作の生存者の長期的な成果を 改善するために不可欠です
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