一个回顾性研究的喘息支持性治疗慢性耐火性喘息在息护理单位的喘息
K T Tay1, N N Nik Isahak2, N Kasinathan2
1Hospital Raja Permaisuri Bainun, Palliative care unit, Ipoh, Malaysia. Kt4896@hotmail.com.
The Medical journal of Malaysia
|March 30, 2024
概括
喘息支持疗法 (BST) 是一种可行的干预措施,用于在资源有限的息护理设置慢性难呼吸. 患者认为服务是可以接受的,大多数患者完成了会议,并报告了积极的反.
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
背景情况:
- 慢性难治性喘息严重影响患者的生活质量和功能.
- 多学科,非药物干预措施对管理这种症状有希望.
- 在一个资源有限的息护理单位开发了一种新的喘息支持疗法 (BST) 服务.
研究的目的:
- 评估建立BST服务的可行性.
- 为了描述接受BST治疗慢性耐火性呼吸困难的患者.
- 为了研究接受BST的患者的结果.
主要方法:
- 对21名患有慢性难以呼吸的患者进行了回顾性研究 (mMRC呼吸障碍等级≥2).
- BST涉及两次临床会议,间隔两周.
- 从医疗笔记中收集的数据,并使用微软Excel进行分析.
主要成果:
- 患者的中位年龄为69岁,52%的女性和72%的非恶性诊断.
- 中位数的mMRC呼吸障碍尺度为3,中位数的查尔森并发症指数为6.5.
- 62%的患者完成了两次BST治疗;从干预到死亡的中位时间为22周,其中72%的患者在家中死亡. 患者报告满意度很高.
结论:
- 开发像BST这样的喘息干预服务是可行的,即使在资源有限的环境中也是如此.
- 患者普遍接受BST服务.
- 建议进行进一步的前性研究,以确认BST的有效性.
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