在急性病的医院中对生命末期的查:一个横截面调查
Timothy To1,2,3, Paul Hakendorf3, David C Currow4,5
1Southern Adelaide Palliative Service, Flinders Medical Centre, Adelaide, AU-SA, Australia.
The American journal of hospice & palliative care
|January 10, 2024
概括
在医院使用息护理查工具识别高风险患者,可以提前改善护理规划. 惊喜问答工具在预测死亡风险方面显示出高准确度.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临终期患者常常入院医院.
- 这些患者的早期识别允许积极的未来护理规划.
研究的目的:
- 评估两种查工具在识别高死亡风险的住院患者方面的有效性.
- 评估这些工具对于启动预先护理计划的有用性.
主要方法:
- 对急性医疗和外科住院患者进行了横截面调查.
- 使用了"缓解方法指标"和"意外问题"选工具.
主要成果:
- 整体一年死亡率为27%.
- 通过"息方法指标"工具识别的患者的死亡率为52%.
- 通过"惊喜问题"工具识别的患者死亡率为65%,AUC为0.84.4.
结论:
- "缓解方法指标"和"意外问题"是有效的查工具.
- 这些工具可以帮助临床医生识别入院患者,这些患者可以从事事先的护理规划中受益.
- 实施这些工具可以带来更为量身定制的患者护理方法.
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