住院住院住院住院住院住院住院住院住院住院 谁被录取,为什么:一种混合方法前性研究
Erna Haraldsdottir1, Anna Lloyd2, Martyn Bijak2
1Queen Margaret University Way, Musselburgh EH21 6UU, UK.
Palliative care and social practice
|July 13, 2023
概括
越来越需要临终关怀住院病房 (IPU). 大多数入院是癌症患者,焦虑和身体症状是关键原因. 需要进一步的研究来澄清IPU在不同条件下的作用.
科学领域:
- 息护理研究 息护理研究
- 临终关怀服务评估
- 医疗保健利用研究 医疗保健利用研究
背景情况:
- 在未来二十年内,英国和爱尔兰的息护理需求预计将增加.
- 住院对于通过社区和住院服务的专业息护理至关重要.
- 需要证据说明不同临终关怀服务的作用,以指导未来的发展.
研究的目的:
- 描述两个住院住院病房 (IPU) 的入院原因.
- 概述患者在宿舍IPU停留期间结束时的结果.
- 通过了解IPU患者的个人资料和结果,为服务开发提供信息.
主要方法:
- 融合,并行混合方法的研究设计.
- 对所有入院于两个临终关怀中心的患者病例笔记的回顾性审查 (2019年7月至11月).
- 与患者和家人进行半结构化访谈,与住院人员进行结构化访谈.
主要成果:
- 276例住院IPU入院,涉及259名患者;中位数年龄为71岁,53%为女性.
- 95%的患者被诊断患有癌症;大多数来自社区的患者患有焦虑和身体问题.
- 住院的平均长度为12天,68%的人在住院死亡;56%的死亡者将住院作为他们首选的护理地点.
结论:
- 需要持续努力,以促进非癌症疾病的宿舍护理.
- 对于临终关怀医院IPU的具体作用,需要更加明确.
- 确定最能从宿舍IPU支持中受益的患者群体是必不可少的.
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