缓和护理干预措施在长期护理设施的有效性:系统性审查
Xuan Liu1,2, Yun-Chen Chang3,4, Wen-Yu Hu2,5
1Department of Nursing, Mackay Memorial Hospital, New Taipei City 251020, Taiwan.
Journal of personalized medicine
|July 27, 2024
概括
长期护理机构的息护理计划改善了终身护理的质量,并降低了成本. 像利物浦护理途径和黄金标准框架这样的干预措施可以增强症状控制和事先的护理计划.
科学领域:
- 老年学是一门学科.
- 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:
- 越来越多的老年人口增加了对长期护理设施的需求.
- 这些设施的住户往往有多种慢性疾病,需要息治疗.
- 息护理可以提高长期护理居民的生活质量和医疗自主性.
研究的目的:
- 在长期护理环境中系统地审查息护理计划的有效性.
- 评估特定的息护理干预措施对生活质量,症状管理和医疗保健成本的影响.
主要方法:
- 对2023年12月31日之前发表的研究进行系统性文献综述.
- 搜索的数据库包括PubMed,EMBASE,科克莱恩图书馆和Airiti图书馆.
- 使用了PICO标准和与长期护理设施和息护理干预相关的特定关键词.
主要成果:
- 全方位老年护理计划 (PACE) 改善了死亡质量和降低了医疗保健成本,但没有显著影响整体生活质量.
- 利物浦护理途径 (LCP) 改善了终端症状控制.
- 养老院的黄金标准框架 (GSFCH) 增加了终身护理率,做不复苏 (DNR) 命令和预先护理规划 (ACP),同时减少了再接收.
结论:
- 息护理干预措施对长期设施中的终身护理有积极的影响.
- 这些干预措施适应当地条件和能力对于有效实施至关重要.
- 可能需要进一步的研究,以优化各种长期护理环境中的息护理服务.
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