对于心力衰竭患者的息护理,使用保存的喷射分数
Sarah Godfrey1, Yilong Peng2, Nicholas Lorusso3
1Division of Cardiology, University of Texas Southwestern Medical Center, Dallas (S.G., M.S., A.P.).
Circulation. Heart failure
|October 23, 2023
概括
息治疗 (PC) 可以改善心力衰竭的生命质量,保留喷射小部分 (HFpEF) 患者,但PC转诊率仍然很低. 解决障碍对于更好的HFpEF护理结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 抚慰性护理是一种缓解性护理.
背景情况:
- 保存喷射分数 (HFpEF) 的心力衰竭是全球心力衰竭的主要形式,特别是在老年人中.
- HFpEF对患者的发病率和死亡率有显著的贡献,类似于心力衰竭与减少的喷射分数.
- 息治疗 (PC) 对心力衰竭患者的生活质量和医疗保健利用有明显的好处.
研究的目的:
- 检查息治疗 (PC) 在心力衰竭中的整合作用和时间,与保存的喷射分数 (HFpEF) 管理.
- 确定阻碍PC转诊的障碍,并探索对HFpEF患者的潜在益处.
主要方法:
- 对心力衰竭现有的息护理试验的审查,并指出缺乏HFpEF特定数据.
- 在HFpEF群体中对PC转诊所发现的障碍的分析.
- 探索与PC相关的潜在以患者为中心的结果.
主要成果:
- 对于HFpEF,PC推率特别低.
- 重要的障碍包括有限的数据,预后不确定性,提供者误解,劳动力短缺和治疗复杂性.
- 尽管存在障碍,但PC为整个疾病轨迹的HFpEF患者提供了潜在的好处.
结论:
- 息护理融入HFpEF护理目前是有限的,但具有显著的潜力.
- 有针对性的研究和实施策略对于改善日益增长的HFpEF人口的生活质量和终身护理至关重要.
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