慢性四肢の危険性のあるイシェミアの患者の緩和医療の必要性: スコーピングレビュー
Hironori Ohinata1, Naomi Akiyama2, Arisa Kawashima3
1Faculty of Health Sciences, Hokkaido University, Sapporo, Japan.
Journal of pain and symptom management
|August 24, 2025
まとめ
慢性四肢の危険性のある性欠血症 (CLTI) の緩和ケアには,早期の介入と多学科チームが必要です. CLTI患者とその介護者のニーズを評価するために,患者によって報告された包括的なアウトカムスケールが必要です.
科学分野:
- 緩和ケア
- 血管医学
- 医療サービス研究
背景:
- 末端を脅かす慢性発血症 (CLTI) は,切断,感染,機能低下を含む重大なリスクを伴います.
- CLTI患者とその介護者にとって緩和ケアは非常に重要ですが,特定のニーズに関する一貫した報告は不足しています.
研究 の 目的:
- CLTI患者とその介護者の緩和医療のニーズを特定するために,スコーピングレビューを実施する.
- CLTIの文脈における緩和ケアに関する既存の文献を統合する.
主な方法:
- ArkseyとO'Malleyに基づいた包括的なスコーピングレビュー方法が採用されました.
- PubMed,Embase,Web of Science,CINAHL,Cochrane Library,PsycINFO,Google Scholarを含む複数のデータベースで広範な文献検索が行われました.
- CLTI患者および介護者の緩和医療のニーズに焦点を当てた研究は,出版年制限なしに含まれました.
主要な成果:
- 最初の2,663件の論文から,14件の研究は適格性基準を満たした.
- 緩和医療の重要なニーズには,緩和医療を早期に統合し,多学科チームを巻き込むことが含まれます.
- 現在の医療慣行では 痛みの評価や生活の質の評価が 限られているため 総合的な評価ツールが不足しています
結論:
- 病院は,CLTI患者および介護者のための緩和ケア提供システムを強化する必要があります.
- 患者によって報告された包括的な結果スケールの実施は,必要性評価のために推奨されます.
- 緩和医療のニーズを徹底的に評価するために,既存の患者による結果測定法を活用するために,さらなる研究が必要である.
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