探索儿科代码状态,提前护理计划和死亡方式在生命结束时的差异
Keisha White Makinde1, Allison Silverstein2, Erin Peckham-Gregory3
1Department of Pediatrics (K.W.M.), Division of Newborn Medicine,Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.
Journal of pain and symptom management
|July 20, 2024
概括
这项研究分析了433名儿童的终身护理,发现了边缘化群体可以获得的息护理. 讲西班牙语的儿童有不同的护理订单,突出了生命末期经历的差异.
科学领域:
- 儿科生命末期护理 儿科终身护理
- 健康差距 研究 研究 研究 研究
- 息治疗的结果
背景情况:
- 边缘化的儿童面临着更糟糕的医疗结果.
- 这些群体对生命终结体验的理解有限.
研究的目的:
- 检查已故儿童的特征.
- 专注于种族,民族和喜欢的语言.
主要方法:
- 对433名已故儿童 (2018-2019) 的横截面研究.
- 提取了人口统计,代码状态和息护理数据.
- 通过图表审查获得了医疗复杂性和死亡方式.
主要成果:
- 包括西班牙裔 (39.3%) 和西班牙语 (42.3%) 的儿童.
- 严重的医疗复杂性 (52.0%) 常见.
- 可获得息护理,特别是复杂病例 (P<0.001).
- 西班牙裔患者不太可能拥有完整的代码状态.
- 讲西班牙语的患者更有可能接受息治疗,不太可能获得完整的代码.
结论:
- 息治疗是边缘化的儿童可以获得的.
- 讲西班牙语的儿童表现出不同的终身护理模式.
- 需要进一步的研究来了解差异,并为改善护理提供信息.
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