对于患有慢性阻塞性肺病的人来说,息护理转诊标准达成共识
Jennifer Philip1,2,3,4, Yuchieh Kathryn Chang5, Anna Collins6
1Department of Medicine, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia jphilip@unimelb.edu.au.
Thorax
|August 22, 2024
概括
国际专家确定了17个主要标准,用于将晚期慢性阻塞性肺病 (COPD) 患者转诊给专业的息护理. 这些标准旨在改善对有重大需求的个人及时和适当的护理.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 呼吸系统医学 呼吸系统医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 晚期慢性阻塞性肺病 (COPD) 呈现出显著的息护理需求.
- 目前用于识别患者进行息治疗转诊的方法是不确定的.
- 需要标准化的转诊标准,以确保公平获得专业息治疗.
研究的目的:
- 建立基于共识的推标准,为晚期COPD患者提供专业门诊息护理.
- 确定对COPD患者及时进行息护理干预的关键指标.
主要方法:
- 一项为期三轮的德尔菲研究,涉及57名国际呼吸系统和息护理专家.
- 专家评价了81个潜在的转介标准,共识定义为≥70%的同意.
- 根据卫生服务的使用,症状负担和预后因素对标准进行了分类.
主要成果:
- 在17个主要推标准上达成共识.
- 标准包括先进的呼吸治疗需求 (例如,家庭通风),严重的症状 (例如,喘息) 和预后指标 (例如, <6个月的预期寿命).
- 这些类别包括医疗服务的使用,症状/心理社会需求以及预后估计.
结论:
- 通过专家的共识,确定了17个主要标准,用于在晚期慢性肺炎患者的专家息护理转诊.
- 需要进一步评估这些标准在临床实践中的可行性.
- 实施这些标准可以提高COPD患者的标准化息护理服务.
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