通过基于家庭的息干预来改善终身护理:系统性审查
Diana Rodrigues Feliciano1, Paulo Reis-Pina2
1Faculty of Medicine (D.R.F., P.R.P.), University of Lisbon, Lisboa, Portugal.
Journal of pain and symptom management
|July 13, 2024
概括
基于家庭的息治疗 (HPC) 改善了生活质量,并增加了严重疾病患者的家庭死亡率. 这种方法也减少了医疗保健的使用,尽管症状管理的好处并不显著.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于家庭的息护理 (HPC) 提供以患者为中心的护理,与偏好保持一致,并改善生活质量 (QOL).
- 高密度计算 (HPC) 是在熟悉的环境中提供终身护理的一个有前途的模式.
研究的目的:
- 系统地审查HPC干预措施对症状管理,质量生活,医疗资源利用和死亡地点的影响.
- 评估HPC对患有严重,进展性疾病,需要终身护理的患者的有效性.
主要方法:
- 在PubMed,Cochrane和Scopus (2013-2023) 的综合文献搜索.
- 包括随机对照试验和临床研究,比较HPC与常规护理.
- 使用Cochrane工具评估偏差风险.
主要成果:
- 九项研究符合纳入标准;HPC改善了QOL并增加了家庭死亡.
- 高血压与减少住院,紧急诊所和更短的住院时间有关.
- 没有观察到症状管理中的显著差异.
结论:
- HPC干预有效地解决了晚期疾病患者的复杂需求.
- 将HPC集成到医疗保健系统中可以优化结果,并促进高质量的终身护理.
- 未来的研究应该专注于扩大接入,跨学科的合作,以及患者的偏好.
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