对息治疗需求的ID-PALL评估工具的实施:在三级医院的可行性和流行性研究
F Teike Lüthi1,2, M Bernard1, G Behaghel2
1Palliative and Supportive Care Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Palliative medicine reports
|August 15, 2024
概括
ID-PALL查工具有效地确定了住院患者的高缓解护理需求. 虽然用户友好,但跨专业实施的挑战需要进一步关注,以提供最佳的息护理.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
- 临床护理 临床护理
背景情况:
- 识别需要息治疗的患者是一个关键的公共卫生问题.
- ID-PALL仪器是第一个验证的工具,用于区分一般和专业息治疗需求.
- 缓解护理查对于及时和适当的患者支持至关重要.
研究的目的:
- 评估用户对ID-PALL仪器的满意度.
- 确定ID-PALL实施的促进者和障碍.
- 评估内科病人的息护理需求的流行程度.
主要方法:
- 混合方法研究具有解释性的顺序设计.
- 在瑞士的第三级医院,对6个月内使用ID-PALL的内科病人的查.
- 通过问卷和与护士和医生聚焦小组收集数据.
主要成果:
- 在43.3%的查患者中 (n=420) 完成了ID-PALL.
- 60%的患者需要一般性息治疗,26.7%的患者需要专门的息治疗.
- 人们认为ID-PALL易于使用,有利于专业间的沟通,尽管注意到了协作方面的挑战.
结论:
- ID-PALL有效地发现了第三级医院环境中高患病率的息护理需求.
- 该工具是用户友好的,但面临的跨专业实施挑战.
- 建议解决实施障碍,可能通过自动转介到专业护理.
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