荷兰儿科息护理指南:一个系统的审查和基于证据的症状治疗建议
Kim C van Teunenbroek1, Renée L Mulder2, Inge M L Ahout3
1Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands. k.c.vanteunenbroek@prinsesmaximacentrum.nl.
BMC palliative care
|March 14, 2024
概括
高质量的症状管理对于患有生命限制疾病的儿童至关重要. 这项研究提供了基于证据的儿童息护理建议,以改善生活质量和减少痛苦.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 症状管理 症状管理
- 儿科医疗保健 儿科医疗保健
背景情况:
- 患有生命限制疾病的儿童经历了严重的痛苦和痛苦的症状.
- 症状管理不良会对生活质量和家庭福祉产生负面影响.
- 优化症状治疗是必不可少的,特别是在生命的末期.
研究的目的:
- 制定基于证据的建议,用于儿童息护理中的症状治疗.
- 解决各种影响儿童生活质量的症状.
- 将患者和家庭的价值观纳入临床指南.
主要方法:
- 一个由56名专家和9名家长组成的多学科小组制定了建议.
- 系统的文献搜索和GRADE方法用于证据评估.
- 建议整合了证据,临床专业知识和患者/家庭价值观.
主要成果:
- 制定了221条关于症状治疗的建议.
- 包括18项研究,29条指南和2本教科书.
- 有限的证据部分回答了27个临床问题中的8个.
结论:
- 在小儿息性症状管理方面,证据显著缺乏.
- 为了高质量的研究,需要国际,多学科的合作.
- 优化症状缓解对全球儿童至关重要.
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