在因心力衰竭住院的患者中验证一种支持性和息性护理指标工具
Yasuhiro Hamatani1, Kanako Teramoto2, Yurika Ikeyama-Hideshima3
1Department of Cardiology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Journal of cardiac failure
|May 12, 2024
概括
支持性和息性护理指标工具 (SPICT) 识别了需要息性护理的住院心力衰竭患者. 具有SPICT阳性的患者面临着明显更高的死亡率,这表明它对预先护理计划的价值.
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.
- 老年病的医生 老年病的医生
背景情况:
- 息治疗对心力衰竭 (HF) 患者至关重要,有助于症状管理和预先护理计划.
- 支持性和息性护理指标工具 (SPICT) 识别需要息性支持的患者.
- 在住院HF患者中SPICT的实用性仍然没有得到验证.
研究的目的:
- 在住院心力衰竭 (HF) 患者中验证支持性和息性护理指标工具 (SPICT).
- 评估SPICT阳性和HF患者的结果之间的关联.
主要方法:
- 评估了601名住院HF患者在入院时使用SPICT的临床数据,症状负担和结果.
- 被定义为SPICT阳性,具有≥2个一般指标和纽约心脏协会等级≥III.
- 随访患者的中位数为518天,以评估所有原因的死亡率.
主要成果:
- 17%的住院HF患者 (100/601) 是SPICT阳性的.
- 阳性SPICT患者年龄较大,临床脆弱性得分较高.
- SPICT阳性独立地与所有原因死亡风险增加3.49倍相关 (HR: 3.49; 95% CI: 2.41-5.05).
结论:
- 住院高炎患者的SPICT阳性与全因死亡率的增加有显著联系.
- 该SPICT工具可以有效地识别可能受益于息护理和预先护理规划讨论的HF患者.
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