对于由住院息护理团队管理的患者,使用连续的门诊分娩设备
Madison Peters1, Dr Justin Kutzko2, Kalli Stilos3
1Advanced Practice Nurse, Division of Palliative Care Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
通过连续通行分娩装置 (CADD) 进行患者控制的止痛疗法 (PCA) 有效地管理癌症患者的疼痛. 改善医院对CADD的接入,可以增强症状管理和患者自主权.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在瘤学瘤学.
- 疼痛管理 疼痛管理
背景情况:
- 使用连续通行分娩装置 (CADD) 进行患者控制的止痛疗法 (PCA) 对住院癌症患者的疼痛和症状的管理至关重要.
- 有限的研究存在于特定的指示和障碍,以启动CADD在住院病人管理的息治疗团队的具体指示和障碍.
研究的目的:
- 为了回顾回顾在息护理咨询中对CADD发病的指示.
- 探索CADD启动的时间,并确定使用它的障碍.
- 为医院政策提供有关CADD可访问性的信息.
主要方法:
- 在六个月的时间里,对61名需要CADD控制症状的成年患者进行了回顾性图表审查.
- 在每日住院息护理咨询中收集的数据.
- 使用团队的数据库表捕获的患者人口统计数据.
主要成果:
- 对于CADD发病的主要症状是缺乏口服阿片类药物的疗效,以及增强患者在疼痛管理中的自主权.
- 大约20%的患者需要转移单位以适应CADD的使用.
- 住院的中位长度为13天;开始在半天内.
结论:
- 该研究确定了在息治疗中使用CADD的关键指示.
- 由于部门协议的不同,医院对CADD的不一致访问可能会阻碍最佳的症状管理和患者安全.
- 建议修订医院政策以扩大CADD接入范围,以改善患者的治疗结果,并可能减少住院时间.
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