与尊严相关的痛苦和召回警觉,非妄想的危急病患者中的痛苦
Rachel A Hadler1,2,3, Seth Weeks4, Yifan He5
1Department of Anesthesiology, Emory University, Atlanta, GA, USA.
Palliative & supportive care
|May 13, 2024
概括
患有危急疾病和末期病的患者经历了与尊严相关的高度痛苦. 然而,这两个群体对这种痛苦评估的回忆力都很差,这表明干预必须是立即的,或者不依赖记忆.
科学领域:
- 关键护理医学 关键护理医学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心理上的痛苦 心理上的痛苦
背景情况:
- 危急疾病往往会导致心理困扰,特别是在警觉的患者中,与尊严有关的困扰.
- 这种痛苦可能源于不愉快的回忆,即在重症期间收到的护理.
研究的目的:
- 为了确定是否有尊严相关苦难风险的患者在评估后一周回忆起他们报告的苦难.
- 为了比较重症患者的召回与因末期脏疾病接受透析的患者的召回.
主要方法:
- 一项前性队列研究,涉及重症患者和末期病患者.
- 使用患者尊严清单 (PDI) 测量了痛苦.
- 随访发生在评估后7-10天,以评估相互作用和PDI含量的回忆.
主要成果:
- 50%的重症患者和58%的透析患者在PDI上报告了严重的痛苦.
- 危急病患者对初次采访的回忆非常差,通常只记得采访发生了.
- 末期病组对评估的回忆没有显著改善.
结论:
- 危急病患者和末期病患者都会经历高水平的与尊严相关的痛苦.
- 在这两组患者中,对危险评估的回忆特别差.
- 对于与尊严相关的痛苦的干预措施,应立即部署或独立于患者回忆,以获得有效性.
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