在心力衰竭住院患者中,疼痛,恢复社区地位和90天死亡率
The Journal of cardiovascular nursing
|June 25, 2024
概括
疼痛出院的心力衰竭患者不太可能回家. 然而,在本研究中,出院时的疼痛并不能预测90天的死亡率.
科学领域:
- 心脏病学 心脏病学
- 老年学是一门学科.
- 疼痛管理 疼痛管理
背景情况:
- 疼痛是心力衰竭患者普遍存在的问题.
- 与疼痛相关的短期出院结果尚未得到充分研究.
- 调查疼痛对退院后康复的影响至关重要.
研究的目的:
- 为了确定出院时的疼痛是否预示着回归社区地位.
- 评估出院时的疼痛是否预测住院心力衰竭患者的90天死亡率.
主要方法:
- 追溯队列研究分析了2169名心力衰竭患者记录.
- 独立变量:诊断出院时的疼痛.
- 结果:回归社区地位和90天死亡率,使用后勤回归分析.
主要成果:
- 在出院时疼痛的患者比没有疼痛的患者 (75.2%) 更少地返回社区 (69.6%).
- 出院时的疼痛并不是90天死亡率增加的预测因素.
- 年龄,并发性疾病,呼吸不全,疲劳,静脉压和停留时间预测返回社区.
结论:
- 心力衰竭患者的出院疼痛与社区回归减少有关.
- 出血时的疼痛似乎不会增加90天的死亡率.
- 未来的研究应该探索急性与慢性疼痛分层,以预测死亡率.
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