晚期慢性肝病的息性临床试验:挑战和机遇
Sumita Verma1, Jay Hingwala2, Joseph T S Low3
1Brighton and Sussex Medical School and University Hospitals Sussex NHS Foundation Trust, Brighton, UK.
Journal of hepatology
|July 7, 2023
概括
由于证据有限,晚期慢性肝病的息护理不足. 本综述审查了试验,障碍和促进者,以改善这些患者的护理公平.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 抚慰性护理是一种缓解性护理.
- 临床试验 临床试验
背景情况:
- 患有晚期慢性肝病 (ACLD) 的患者经历了显著的症状负担.
- 许多ACLD患者无法接受治愈治疗,需要进行息干预.
- 在ACLD提供息护理是不充分的,部分原因是证据基础较弱.
研究的目的:
- 审查在晚期慢性肝病中过去和正在进行的息性干预试验.
- 确定设计和进行这些试验的障碍和促进者.
- 为ACLD患者提供指导,以减少ACLD患者的息护理方面的不平等.
主要方法:
- 对ACLD的息性干预试验现有的文献进行系统审查.
- 分析在试验设计和执行过程中报告的障碍和促进因素.
- 综合发现,提供可行的建议.
主要成果:
- 对于ACLD的息干预的证据基础是不够的.
- 许多挑战阻碍了ACLD中的息试验的设计和实施.
- 通过审查,确定了关键的障碍和促进者.
结论:
- 迫切需要在晚期慢性肝病中加强息护理研究.
- 解决已识别的障碍和利用促进者对于试验成功至关重要.
- 改善息护理的提供可以减少ACLD患者的不平等.
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