缓和护理团队干预和使用患者报告的结果改善症状的影响:多中心前性观察性研究
Hideyuki Hirayama1, Eriko Satomi2, Yoshiyuki Kizawa3
1Department of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai, 980-8575, Japan. hideyuki.hirayama.r8@dc.tohoku.ac.jp.
概括
根据患者报告的结果,基于医院的息护理团队 (HPCTs) 有效地改善了患者的严重症状,包括疼痛和呼吸困难. 然而,这项研究强调了缓解息治疗患者症状的挑战,表明需要加强护理策略.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
- 患者报告的结果
背景情况:
- 基于医院的息护理团队 (HPCTs) 在全球普遍存在.
- 在国际上,使用患者报告的结果 (PROs) 对HPCT有效性的多中心研究很少.
- 这项研究解决了在日本对HPCT有效性的数据需求.
研究的目的:
- 探索日本医院息护理团队 (HPCT) 的有效性.
- 用患者报告的结果 (PROs) 来评估症状改善.
- 为 HPCT 有效性的有限的多中心数据做出贡献.
主要方法:
- 一项在八家日本医院进行的前性多中心观察研究.
- 在2021年1个月内招募了318名新转诊患者,并在1个月内进行跟踪.
- 在多个时间点采集了患者报告的结果,使用综合息护理结果表或埃德蒙顿症状评估系统.
主要成果:
- 在一周内,超过60%的患者观察到12种严重症状的显著症状改善,包括吐,呼吸短促,恶心,疼痛和虚弱.
- 吐 (100%) 和呼吸短促 (86%) 的改善率最高,从严重到中度或更小.
- 吐和实际问题等特定症状也显示出明显的改善,从严重/中度到轻度或更小.
结论:
- 基于医院的息护理团队 (HPCTs) 在改善PROs.测量的严重症状方面表现出有效性.
- 这项研究强调了在息治疗中治疗症状的固有困难.
- 调查结果表明,持续需要推进和改进息护理服务.
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