为社区医院提供道导管安置计划
Ned Stolzberg1, Gobi Paramanandam2, Shelly R Myers1
1Hospice of the Valley (N.S., S.M., S.A.), Phoenix, Arizona, USA.
Journal of pain and symptom management
|November 22, 2023
概括
临终关怀患者患有炎或胸腔溢液可以从内部道导管程序中受益. 这项试点研究表明,它是可行的,具有成本效益,并改善生活质量.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗器械 医疗器械
- 症状管理 症状管理
背景情况:
- 过度的液体积累 (,流) 在宿舍患者中会导致难以治疗的症状.
- 目前的管理往往涉及门诊程序,影响患者的生活质量.
- 谷地的临床医院寻求一种改善的方法来缓解症状.
研究的目的:
- 描述一项公司内部试点项目,用于在宿舍患者中安置道导管.
- 评估该计划的可行性,成本效益和患者的结果.
主要方法:
- 在27个月 (2020-2023) 期间,对127名临终关怀患者进行的135项手术进行了回顾性审查.
- 对手术相关和晚期并发症率的分析.
- 评估计划的物流,成本和宿舍团队,患者和家人的接受.
主要成果:
- 观察到与程序相关的并发症 (<4%) 和晚期 (<3%) 的比例较低.
- 与门诊提供者相比,每次手术的平均成本 (1030美元) 是有利的.
- 该计划在所有利益相关者中获得了高度认可.
结论:
- 内部道导管程序是宿舍提供者可行的选择.
- 这种方法提供了低成本的症状缓解和改善选择患者的生活质量.
- 该计划有效地解决与液体积累相关的难以治疗的症状.
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