日本的息护理查工具:横截面实用性研究
Mami Minato1, Shintaro Kosaka2, Masaya Higuchi3
1Division of General Medicine, Itabashi Chuo Medical Center, Itabashi-ku, Japan.
BMJ supportive & palliative care
|February 23, 2024
概括
在日本,超过一半的内科住院患者可能需要息治疗. 选工具确定了未得到满足的需求,表明由于劳动力短缺,需要修改方法.
科学领域:
- 老年学是一门学科.
- 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:
- 日本的人口正在快速老龄化,对息治疗的需求正在增加.
- 日本医院的国际息护理查工具的有效性尚未得到充分证实.
- 在急性护理环境中确定未满足的息护理需求对于改善患者的治疗结果至关重要.
研究的目的:
- 评估美国和英国息护理查工具在日本急症医院的有用性.
- 为了确定内部医学住院患者中未得到满足的息护理需求的普遍性.
- 评估需要息治疗的患者存在的并发症类型.
主要方法:
- 在日本东京 (2019年11月 - 2020年1月) 进行的一项单中心,横截面研究.
- 使用了支持性和息性护理指标工具 (SPCT) 和息性护理查工具 (PCST).
- 被查的患者被录取到急症医院的内科病房.
主要成果:
- 126名患者 (51.6%) 的查结果呈阳性,因为他们需要息治疗.
- 在阳性查中,痴呆/虚弱 (85.7%) 和神经疾病 (50.8%) 的高患病率.
- 表明大量住院患者可能受益于息护理干预措施.
结论:
- 大约一半的急性护理机构内科住院患者可能有未满足的息护理需求.
- 这些发现凸显了日本在息护理提供方面存在潜在的差距.
- 修改后的查工具可能是必要的,以有效地识别高风险患者,考虑到有限的息护理工作人员.
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