慢性肝病的临终病患者的息治疗
Katharina Pomej1, Eva Katharina Masel2, Gudrun Kreye3
1Division of Gastroenterology and Hepatology, Department of Medicine III, Medical University of Vienna, Vienna, Austria.
晚期慢性肝病 (ACLD) 患者面临显著症状. 将息治疗与积极的疾病管理相结合,可以提高他们的生活质量.
科学领域:
- 肝病学和息治疗医学
背景情况:
- 晚期慢性肝病 (ACLD) 与高症状负担有关,与其他限制生命的疾病相比.
- 在ACLD中死亡率的上升凸显了改善患者护理的迫切需要.
- 在ACLD中有效的息护理障碍包括不可预测的进展,关于息护理的误解和资源限制.
研究的目的:
- 审查目前关于ACLD患者息治疗的证据.
- 为管理ACLD症状负担提供最佳实践示例.
- 建议将疾病修饰治疗与息治疗相结合的策略.
主要方法:
- 系统审查现有关于晚期慢性肝病息治疗的文献.
- 在多学科团队方法中分析当前的最佳实践.
- 综合证据,共同存在的疾病修饰和息护理策略.
主要成果:
- 肝病学家可以在积极的疾病管理中提供基本的息护理.
- 对疾病进展,预先护理计划和并发症管理的讨论至关重要.
- 与多学科团队的早期接触有效地解决了心理社会和财务负担.
结论:
- 应将基本息治疗纳入ACLD患者的常规肝病学实践中.
- 对于有复杂需求的患者,建议提供专门的息治疗.
- 协调护理确保患者从疾病修饰干预和以生活质量为重点的支持中受益.
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