息护理教育模块对心力衰竭患者的影响和可持续性
Shelley L Thompson1, Allison Lindgren1, Jaime McDermott1
1Duke University Medical Center, Durham, NC, USA.
The American journal of hospice & palliative care
|December 4, 2023
概括
教育心力衰竭 (HF) 患者关于息护理 (PC) 显著增加了PC咨询. 这种干预改善了患者与PC服务的接触,但没有影响死亡率或再入院.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心力衰竭 (HF) 影响着数百万美国成年人,目前的治疗重点是症状管理和进展预防.
- 建议为HF患者整合息治疗 (PC),以提高生活质量和症状控制,但及时转诊仍然是一个挑战.
- 以前的研究表明,有针对性的患者教育可以改善PC参与HF护理.
研究的目的:
- 为了教育被诊断为心力衰竭 (HF) 的患者,了解息治疗 (PC).
- 评估这种教育对PC咨询率,再入院,死亡率和重症监护室 (ICU) 转移的影响.
- 评估教育干预的可持续性和有效性.
主要方法:
- 研究了一组124名住院HF患者的队列.
- 干预组 (n=39) 观看了PC上的教育模块,而常规护理组 (n=38) 则拒绝了.
- 在各组之间比较了PC咨询,再接收,死亡率和ICU转移.
主要成果:
- 接受PC教育的患者更有可能要求PC咨询 (11对1,P=.006).
- 在干预组和通常护理组之间,没有观察到重新入院率,死亡率或ICU转移的统计学上显著差异.
- 这些发现与之前的一项试点研究一致,该研究表明在教育后PC使用量增加.
结论:
- 对息治疗 (PC) 的患者教育有效地增加了心力衰竭 (HF) 患者使用PC服务的比例.
- 虽然提高了PC参与度,但这种教育干预措施并没有对死亡率,再入院或转移到更高水平的护理产生统计学上显著的影响.
- 该项目证实了教育方法的可持续性,以促进高频人口中PC咨询.
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