宿舍共享护理对台湾末期癌症患者的影响:一项基于医院的观察性研究
Hui-Wen Huang1, Chun-Yu Liu2, Tao-Hsin Tung3
1Nursing Department, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Nursing, Fu Jen Catholic University, New Taipei City, Taiwan.
概括
末期癌症患者的宿舍共享护理 (HSC) 减少了侵略性治疗,但没有显著改善生活质量. 迟到的转诊是常见的,这表明需要更早地整合息护理服务.
科学领域:
- 在瘤学瘤学.
- 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:
- 在末期癌症患者中,积极的医疗治疗是常见的.
- 宿舍共享护理 (HSC) 旨在改善终身护理.
- 了解HSC对治疗和生活质量的影响至关重要.
研究的目的:
- 评估宿舍共享护理 (HSC) 对积极医疗治疗的影响.
- 评估HSC对末期癌症患者生活质量的影响.
主要方法:
- 一份对160名在非临终关怀病房死亡的晚期癌症患者的回顾性图表审查.
- 一个前性研究19个有意识的晚期癌症患者在非临终关怀病房评估生活质量.
- 接受HSC和不接受HSC的患者之间的比较.
主要成果:
- 宿舍共享护理 (HSC) 的利用率为55.6%,延迟转诊率高 (死亡前≤7天).
- 与非HSC组相比,HSC组的化疗,做不复苏命令,急诊室访问,重症监护室入院和输管率明显较低.
- 在HSC和非HSC组之间没有观察到生活质量的显著差异.
结论:
- 在台湾,晚期转诊到宿舍共享护理是癌症终末期患者中普遍存在的.
- 临终关怀共享护理与积极的终身医疗干预措施的减少有关.
- 需要进一步的研究来确定HSC在改善临终期患者生活质量的有效性.
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