心血管緩和医療のパラダイムを拡大する
Sarah Godfrey1, James N Kirkpatrick2, Daniel B Kramer3
1Division of Cardiology, University of Texas Southwestern Medical Center, Dallas (S.G., M.S.S.).
Circulation
|September 25, 2023
まとめ
緩和医療は 心血管疾患 (CVD) の患者,特に心不全患者の生活の質を改善します. このレビューでは,すべてのCVDタイプにおけるその役割について検討し,患者中心のケアを強化するために, 合わせたモデルを提唱しています.
科学分野:
- 心臓病科
- 緩和医療
背景:
- 心血管疾患 (CVD) は世界の主要な死因であり,患者の生活の質に重大な罹病率と死亡率がある.
- 緩和ケアは心不全の管理に確立され,患者中心のアウトカムを改善しますが,他のCVDにおけるその役割は定義されていません.
- 現在のガイドラインには 心不全の緩和ケアが含まれていますが,CVDのスペクトル全体での適用は不確実です.
結論:
- 心血管疾患のあらゆる段階において 緩和ケアが不可欠で 診断から末期治療まで 患者の健康状態を向上させます
- 既存の障壁を克服し,患者の治療結果を改善するために,特定の心血管緩和ケアモデルを開発し,研究する必要があります.
- 心血管の緩和ケアを進めるための 構造的なアプローチが推奨され,この集団の目標に合致するより良いケアを保証します.
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