息治疗中的生命体征:一个范围审查
Jenny Power1,2, Craig Gouldthorpe2,3, Andrew Davies1,2,3
1School of Medicine, University College Dublin, D04 V1W8 Dublin, Ireland.
Cancers
|September 28, 2023
概括
在息治疗中,生命体征并非常规使用. 虽然一些研究表明,生命体征的变化可能预示着生命的终结,但另一些研究表明,直到死亡时,读数是正常的,因此需要进一步研究癌症预后.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 在瘤学瘤学.
- 临床监测 临床监测
背景情况:
- 生命体征对于二级医疗保健中的临床评估至关重要,但在息护理环境中未得到充分利用.
- 在息治疗中,生命体征测量不频繁的原因尚不清楚.
- 本综述解决了有关晚期癌症患者息治疗中的生命体征实用性的知识差距.
研究的目的:
- 在息治疗中对生命体征的通用使用进行范围审查.
- 评估生命体征在接受息治疗的成人癌症患者预后中的作用.
主要方法:
- 在Medline,Embase和CINAHL数据库中搜索相关研究.
- 包括专注于接受息治疗的晚期癌症成年患者的文章,其中测量了生命体征.
- 确定了26篇关于预测生命体征的文章和3篇关于通用生命体征使用的文章.
主要成果:
- 在确定的研究中观察到显著的异质性.
- 一些证据表明,生命体征的变化可能表明死亡的临近.
- 相反,其他研究表明,患者可以保持正常的生命体征,直到死亡.
结论:
- 需要进一步的研究来确定异常的生命体征是否可以作为高级癌症息护理的可靠预后指标.
- 目前的证据对于生命结束时的生命体征的预测价值是不确定的.
- 探索生命体征在息护理预后中的特定实用性仍然是未来研究的重要领域.
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