家庭应急响应小组为重病息护理患者:可行性和有效性
Nicolas Deniau1, Taraneh Shojaei1, Alexandre Georges1
1Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France.
BMJ supportive & palliative care
|October 16, 2023
概括
一个新的综合关键和息护理团队提供紧急的家庭应急响应. 这种模型证明了可行性,有可能减少晚期疾病患者在家住院的住院时间.
科学领域:
- 紧急医疗 紧急医疗
- 抚慰性护理是一种缓解性护理.
- 老年病的医生 老年病的医生
背景情况:
- 患有晚期疾病的患者经常在家中经历痛苦的症状.
- 对于急性症状恶化,经常考虑住院治疗,即使患者更喜欢呆在家里.
研究的目的:
- 描述在家中由新型综合重症监护和息护理团队管理的患者的发展轨迹.
- 评估本综合家庭应急响应计划的可行性和初步影响.
主要方法:
- 一项描述性研究针对在家接受24/7紧急响应治疗晚期疾病和令人痛苦的症状的患者进行了描述性研究.
- 纳入标准包括患者喜欢呆在家里和共同决策,认为住院不合适.
- 数据是在该计划运行的第一年收集的.
主要成果:
- 包括352名患者,主要诊断包括癌症 (41%),痴呆症 (28%) 和慢性器官衰竭 (10%).
- 患有危急疾病的患者,包括呼吸系统 (52%) 和神经系统 (48%) 的失败,以及像喘息 (43%) 这样的痛苦症状.
- 主要结果是家庭死亡 (72%),改善 (19%) 和住院 (9%),中位响应时间为140分钟.
结论:
- 综合重症监护和息护理团队模型对于紧急的家庭应对是可行的.
- 共享决策和及时的家庭紧急护理可以防止晚期疾病患者不必要住院.
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