患者接受持续静脉内热疗支持作为息治疗的疾病状态理解和经验:一个多中心调查
Mansi Maini1, Kelley M Anderson2, Matthew Seplowe3
1Department of Medicine, Georgetown University School of Medicine, Washington, DC, USA.
Journal of palliative medicine
|April 2, 2024
概括
晚期心力衰竭患者接受持续静脉注射内支持 (CIIS) 报告生活质量有所改善. 然而,许多人预计CIIS会增加寿命,这与证据相矛盾,强调需要更好的预后意识.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 患者的治疗结果.
背景情况:
- 持续静脉注射内支持 (CIIS) 越来越多地用于晚期心力衰竭 (HF).
- CIIS可以改善功能类,但不能延长生存期.
- 了解患者对CIIS的看法对于符合目标的护理至关重要.
研究的目的:
- 评估患者对CIIS治疗意图的理解.
- 为了评估接受CIIS的患者的预后意识.
- 检查CIIS中高级HF患者的生活质量 (QoL) 和治疗满意度.
主要方法:
- 展望性,横截面,多中心研究.
- 在美国 (2020-2022) 通过电话对48名CIIS门诊患者进行调查.
- 用于数据分析的描述性和推断性统计.
主要成果:
- 大多数患者预计CIIS可以改善健康 (79%) 和寿命 (75%),但不能治愈HF (19%).
- 整体QOL被评为有点好 (46%) 或显著好 (35%).
- 报告的治疗满意度很高 (87%至少有点满意).
结论:
- 接受息性CIIS治疗的患者报告提高了QoL和高满意度.
- 患者对CIIS增加生存期的预期与当前的证据不一致.
- 需要进一步的研究来提高预后意识,并确保符合目标的护理.
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