检查加拿大当代医院用于息护理目的的使用情况:以人口为基础的研究,以促进政策和计划的发展
Donna M Wilson1,2,3, Yiling Zhou4, Kathleen A Bykowski1
1Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Journal of palliative medicine
|August 29, 2023
概括
现在加拿大的大多数死亡都发生在医院外,这与普遍认为的情况相反. 这一转变凸显了加强社区服务的必要性,以支持医疗机构以外的生命终端护理.
科学领域:
- 息护理和卫生服务研究研究
- 老年医学和生命末期研究
背景情况:
- 死亡地点是缓解护理质量的关键指标.
- 人们普遍认为,发达国家的大多数死亡都发生在医院内.
研究的目的:
- 分析2019-2020年期间在医院死亡的患者的加拿大医院利用模式.
- 为了检查这些患者在生命的最后365天内额外的医院使用.
主要方法:
- 基于人口的调查,使用2018-2020年加拿大医院数据.
- 使用SAS软件对所有入院患者进行分析,无论退院状态如何.
主要成果:
- 在2019-2020年,有91,640名住院患者死亡,占加拿大所有死亡人数的41.82%.
- 大多数死者是老年人 (81.16%),通过急诊室入院 (80.16%),并记录了替代级别护理 (ALC) 天 (89.97%).
- 虽然74.33%的人在过去的一年中只有一次住院,但25.67%的人经历了两到五次住院.
结论:
- 这项研究证实了加拿大医院外死亡的显著趋势.
- 目前的终身护理主要是在社区环境中进行的,而不是医院.
- 建议加强以社区为基础的服务,以促进医院以外的最佳死亡体验.
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