对老年COVID-19患者预先护理规划实践的调查:一个多中心问卷调查调查
Ryosuke Morio1, Takahiro Takazono2, Ryotaro Kubo2
1Department of Internal Medicine, Izumikawa Hospital, Nagasaki, JPN.
Cureus
|June 30, 2023
概括
住院COVID-19患者的预先护理计划 (ACP) 非常低,为7.3%. 提高意识至关重要,特别是对于老年患者来说,以确保他们的终身护理偏好是众所周知的.
科学领域:
- 老年病的医生 老年病的医生
- 抚慰性护理是一种缓解性护理.
- 传染性疾病 传染性疾病
背景情况:
- 提前护理规划 (ACP) 促进了患者,家庭和医疗保健提供者之间的终身护理讨论.
- 住院COVID-19患者由于症状迅速恶化和隔离,在ACP面临挑战.
研究的目的:
- 评估住院COVID-19患者中预先护理计划 (ACP) 实践的现状.
- 确定影响该脆弱人群中的ACP因素.
主要方法:
- 对60岁及以上的住院COVID-19患者进行了多中心问卷调查.
- 该调查评估了关于生命终端医疗治疗和患者偏好的先前讨论.
主要成果:
- 在109名被录取的患者中,只有7.3%的患者 (平均年龄75.0岁) 在入院时已经练习了ACP.
- 患者的年龄与ACP实践有显著的关联 (p=0.035).
- 在ACP实践的患者更有可能做出所有终身治疗决策 (100%对67%,p=0.026).
结论:
- 在住院COVID-19患者中,提前护理计划 (ACP) 率非常低.
- 提高对ACP的认识和实施是必不可少的,特别是对于伴随疾病的老年患者.
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