晚期慢性阻塞性肺病中的呼吸障碍和息护理:快速审查
概括
慢性阻塞性肺病 (COPD) 呼吸障碍症的息护理 (PC) 干预措施未得到充分利用和了解. 早期整合PC和澄清阿片类药物使用可以改善COPD症状管理.
科学领域:
- 肺部医学 肺部医学
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 呼吸不良是慢性阻塞性肺病 (COPD) 中的主要活动限制症状.
- 尽管有建议,但COPD呼吸障碍的息护理 (PC) 尚未得到充分利用,干预措施不太了解.
- 由于COPD治疗的复杂性,需要探索PC的作用.
研究的目的:
- 探索呼吸障碍的概念和PC在COPD管理中的作用.
- 从提供者,护理人员和患者的角度检查呼吸障碍的运行,管理策略和PC影响.
- 为了确定在COPD护理中PC整合的障碍和促进者.
主要方法:
- 快速审查方法系统地综合了13篇文章 (2018年1月-2023年10月).
- 通过可视化和主题聚类进行数据合成,以确定关键结论.
- 通过多个利益相关方的透视来探索呼吸障碍和PC.
主要成果:
- 由于测量和术语不一致,COPD中呼吸障碍的运行具有挑战性.
- 阿片类药物治疗对于呼吸障碍是常见的,但受到提供者偏见和患者/护理人员看法的影响.
- 呼吸障碍的严重负担使COPD治疗复杂化.
结论:
- 需要基于证据的指导方针来澄清阿片类药物用于呼吸障碍,减少耻辱和治疗障碍.
- 提供者教育强调多方面的方法和早期PC整合对于COPD呼吸障碍管理至关重要.
- 提高PC干预措施的理解和应用可以提高COPD患者的治疗结果.
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