在息治疗时使用功能状态 咨询以确定提前转诊的机会
Moritz Blum1, Li Zeng1, Emily Chai1
1Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Journal of palliative medicine
|July 13, 2023
概括
息治疗转诊时的功能状态因严重疾病而异. 测量澳大利亚修改的卡诺夫斯基绩效状态 (AKPS) 可以帮助识别需要更早获得息护理的患者.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 改善早期获得息治疗的机会对于患者的福祉至关重要.
- 需要实时监控息护理转诊实践.
- 在提交时的功能状态可能表明早期干预的机会.
研究的目的:
- 评估澳大利亚修改的卡诺夫斯基绩效状态 (AKPS) 在各种严重疾病的初始息护理咨询中的差异.
- 确定AKPS是否可以识别那些可能受益于早期息护理转诊的患者.
主要方法:
- 一个住院患者的缓解护理回顾分析咨询登记.
- 使用ICD-10代码对严重疾病的分类.
- 临床治疗师在初次咨询期间对AKPS的评估.
主要成果:
- 在不同严重疾病中观察到AKPS分布的显著变化 (p < 0.001).
- 患有癌症和心脏病的患者通常表现为保持功能状态.
- 大多数患有痴呆症,神经,肺部,肝脏和脏疾病的患者在初始息护理咨询时被绑在床上.
结论:
- 息护理转诊时间与特定的严重疾病有关.
- 在转诊时的AKPS测量为患者的功能状态提供了宝贵的见解.
- 使用AKPS可以帮助监测转诊模式,并促进更早地获得息护理.
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