危急病患者中与死亡质量和死亡类相关的因素
Fur-Hsing Wen1, Wen-Chi Chou2,3, Chung-Chi Huang4,5
1Department of International Business, Soochow University, Taiwan, R.O.C.
JAMA network open
|July 1, 2024
概括
临床上可修改的因素显著影响了重症监护室 (ICU) 患者的死亡和死亡质量 (QODD). 专注于家庭支持和沟通的干预措施可以改善终身护理体验.
科学领域:
- 关键护理医学 关键护理医学
- 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:
- 在重症监护室 (ICU) 改善生命终端护理至关重要.
- 影响死亡和死亡质量 (QODD) 的临床可修改因素尚未得到充分理解.
研究的目的:
- 在临终的ICU患者中识别与QODD类相关的因素.
- 强调改善临床可修改因素,以改善终身护理.
主要方法:
- 在两个台湾医疗中心 (2018-2020) 进行的观察性队列研究.
- 包括309名危急病重症监护病房患者的家庭代孕.
- 使用隐性类模型来分析与QODD类相关的因素.
主要成果:
- 家庭人口统计学,患者关系和ICU停留时间与QODD类有关.
- 社会支持,家庭聚会,心肺复苏,死亡时的家人,以及家人对护理的满意度是重要的因素.
- 家庭在死亡时的存在与更好的QODD结果密切相关.
结论:
- 可修改的生命末期ICU护理特征对QODD的影响比不变的因素更大.
- 调查结果突出了改善ICU生命终端护理的可操作机会.
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