在肝硬化中有效地缓解耐火性炎是具有挑战性的
Jane Abbott1, Sumita Verma2, Sushma Saksena3
1Gastroenterology Registrar, Department of Hepatology, Royal London Hospital, Barts Health NHS Trust; Department of Immunobiology, Blizard Institute, Queen Mary University of London.
International journal of palliative nursing
|June 24, 2024
概括
医疗保健专业人员愿意考虑长期腹部排水 (LTAD) 治疗末期肝病 (ESLD) . 然而,感知到的感染风险和社区管理挑战阻碍了采用,促使进一步研究.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 抚慰性护理是一种缓解性护理.
- 医疗器械 医疗器械
背景情况:
- 末期肝病 (ESLD) 的息护理往往不理想,炎是常见的并发症.
- 大体积体 (LVP) 是ESLD风的标准,与用于恶性风的长期腹部排水 (LTAD) 不同.
- 美国国家卫生和护理研究院 (NIHR) 的一项试验 (REDUCe 2) 在ESLD患者中将LTAD与LVP进行比较.
研究的目的:
- 调查医疗保健专业人员 (HCP) 在末期肝病 (ESLD) 中对息性长期腹部排水 (LTAD) 的看法和经验.
主要方法:
- 一项电子调查包含七个定量和三个探索性问题,并分发给医疗保健人员.
- 该调查通过英国肝脏研究协会的新闻通讯和医院部门传播.
- 在4周和8周发送了提醒,以最大限度地提高反应率.
主要成果:
- 211名医疗保健工作人员回应了,其中68%的人有使用LTAD的经验.
- 91%的受访者愿意考虑对ESLD进行LTAD,但90%的受访者认为感染风险是一种威.
- 之前的LTAD用户报告了临床并发症 (51%),技术问题 (41%) 和社区支持不足 (35%).
结论:
- 医疗保健专业人员愿意在ESLD中使用息性LTAD治疗耐火性炎.
- 感知感染风险和缺乏社区管理数据是使用LTAD的关键障碍.
- REDUCe 2试验旨在解决这些问题,并确定LTAD在ESLD中的作用.
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