照顾需要静脉动脉外体膜氧化治疗的患者:上游息护理能否有所作为?
Katie Stevens1, Samuel R Anandan2, Husneara Rahman3
1Department of Cardiothoracic Surgery, Zucker School of Medicine at Hofstra Northwell, Manhasset, NY, USA.
The American journal of hospice & palliative care
|January 9, 2024
概括
对静脉动脉外体膜氧化 (VA-ECMO) 患者的早期息护理咨询可以减少住院时间 (LOS) 和增加护理目标 (GOC) 文档. 建议这些危急患者早期整合息治疗.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 静脉-动脉外体膜氧化 (VA-ECMO) 是一种对重症患者的生命支持措施.
- 对VA-ECMO患者的息护理咨询的作用和影响仍未得到充分研究.
- 心胸外科和老年人和息医学 (GaP) 之间进行了合作,以评估其效果.
研究的目的:
- 评估早期老年医学和息医学 (GaP) 咨询对静脉-动脉外体膜氧化 (VA-ECMO) 患者住院时间 (LOS) 和治疗目标 (GOC) 频率的影响.
- 为了比较运营指标和GAP咨询整合之前和之后的中国政府利率.
- 确定早期息治疗是否能改善VA-ECMO患者的治疗结果.
主要方法:
- 2019-2021年期间需要VA-ECMO的成年患者的回顾性图表审查.
- 对人口统计,LOS,咨询时间,疾病严重程度,中国政府文件和结果的分析.
- 接受了GaP咨询的患者与没有接受GaP咨询的患者之间的指标比较.
主要成果:
- 早期的GaP咨询显著减少了在研究期间 (2019-2021) 咨询的中位时间.
- 对于已过期的患者,与早期的GaP咨询 (2020-2021与2019年) 相比,中位数的LOS显著减少.
- 在接受GaP咨询的患者中,护理目标 (GOC) 文档显著更高 (65.6% vs 14.3%).
结论:
- 对VA-ECMO患者的早期老年和息医学 (GaP) 咨询与已过期的患者的停留时间 (LOS) 的减少以及改善的护理目标 (GOC) 文档相关.
- 在机械循环支持过程中早期整合息护理服务可能是有益的.
- 组织应考虑为VA-ECMO患者提供早期的息护理整合.
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