门诊息护理服务的参与:瑞士第三级医院的五年经验
Dorothea Rebekka Birkner1, Markus Schettle2, Markus Feuz2
1University of Zurich, Zurich, Switzerland.
Palliative medicine reports
|January 22, 2024
概括
早期门诊息治疗有助于高症状负担和痛苦的患者. 虽然有好处,但迟到的转诊限制了其改善生活质量的全部潜力. 需要进一步的整合.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 支持性护理是一种支持性护理.
背景情况:
- 缓和护理的早期整合在癌症和非癌症疾病中越来越受到重视.
- 门诊息护理服务为提供早期支持性护理提供了一种实用的方法.
- 这项研究评估了患者利用率,效益,症状管理和早期门诊息护理的支持服务.
研究的目的:
- 为了确定患者的人口统计和临床特征,利用早期门诊息护理.
- 评估门诊息护理服务所提供的好处和症状管理.
- 了解在疾病早期阶段实施的支持系统.
主要方法:
- 瑞士 (2016-2020年) 息护理门诊患者的回顾性分析.
- 收集的数据包括社会人口统计数据,症状,疾病信息,以及来自电子健康记录的患者报告结果.
- 统计分析涉及描述性统计,卡普兰-梅尔估计和存活的逻辑等级测试.
主要成果:
- 分析了363名患者的642次咨询,93.7%的患者患有瘤疾病.
- 高症状负荷 (73.7%报告≥2个症状) 和痛苦 (30.4%报告痛苦水平≥5) 是普遍存在的.
- 患者在死亡前4个月的中位数被转诊,无论疾病的类型或持续时间如何.
结论:
- 门诊息护理解决了患者显著的症状负载和痛苦.
- 患者从药物治疗,改善的门诊支持和预先的护理计划中受益.
- 尽管接受度很好,但迟到的转诊限制了提升早期生活质量的潜力;建议早期整合.
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