末期病死亡:与息护理计划中的死亡地点相关的因素
Ana Cunha Rodrigues1, Filipa David2, Rita Guedes3
1Centro Hospitalar Tondela Viseu, Portugal.
Jornal brasileiro de nefrologia
|October 23, 2023
概括
息护理团队可以帮助末期脏病患者在家中死亡. 透析停止后的无尿和短生存时间等因素可能会限制家庭死亡,而更长的息护理随访可能有所帮助.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 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:
- 对于末期病 (ESKD) 患者的终身护理带来了独特的挑战.
- 专门的息护理团队 (PCT) 对于管理这些复杂的需求至关重要.
研究的目的:
- 要描述ESKD患者的特征,请参考PCT.
- 确定影响ESKD患者计划在家死亡的因素.
主要方法:
- 60名ESKD患者的回顾性观察队列研究,转到PCT (2014-2021年).
- 对53名已知ESKD患者的死亡地点分析,检查人口统计学,临床和治疗变量.
主要成果:
- 研究人口 (平均年龄84岁) 包括接受保守治疗,慢性血液透析或临时血液透析的患者.
- 18%的已知ESKD患者在家中死亡;没有人口或临床因素与死亡地点相关.
- 尿和从透析暂停到死亡的时间缩短与医院死亡有关;较长的息护理随访显示出家庭死亡的趋势.
结论:
- 对于ESKD患者来说,在息计划中,家庭死亡是可以实现的,不论年龄,性别,CKD原因,并发症或治疗.
- 透析后的尿失和快速衰退可以阻碍计划的家庭死亡.
- 延长息护理的参与可能会增加在家死亡的可能性.
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